Jobs in the United States

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Warehouse Associate Back-up Driver/52406
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Senior CSA MBPS Configuration Mgr / 2396
R & P Technologies LLC
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Quality Control Manager - Media Services
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…efficiency, customer satisfaction and innovation. The Quality Control Manager is central to these activities and serves lead for the quality control program and reporting…
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Territory Executive - Illinois
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…competencies to give leaders a shared language for guiding their development, career, promotion, and succession planning discussions. Our Manager Expectations serve as a practical guide for…
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AT
Senior Technical Program Manager
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Jackson, MS
- $119,600 to $215,400 USD / year
As a Senior Technical Program Manager, you will require technical understanding of AI/ML systems, exceptional organizational and program management skills, and proven experience leading…
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Mgr Housekeeping BU EX MGRHO042895
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Associate Clinical Territory Manager - Virginia
Cochlear
Jackson, MS
- $79,000 to $83,000 USD / year
…brand in hearing health care. Associate Clinical Territory Manager - Virginia territory Position Spotlight: Develop expertise in cochlear implant and bone conduction hearing solutions…
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Principal Portfolio Manager, Infrastructure Development
Meta
Jackson, MS
…Infrastructure team is seeking an experienced Principal Portfolio Manager to serve as the operational backbone of our Energy Infrastructure Investments pillar. This individual will be…
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Principal Aftermarket Technical Product Manager
GE Aerospace
Jackson, MS
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Account Manager
Milwaukee, WI
As a Account Manager, you will manage operational relationships for assigned clients and support the quality delivery and maintenance of products and services. You will work with clients,…
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Construction Manager, Retail
Meta
Jackson, MS
Meta is seeking an experienced Construction Manager to lead the planning, design, and delivery of retail store construction projects across Meta's physical retail portfolio. In this role,…
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EC
Continuous Improvement Manager
Eaton Corporation
Jackson, MS
- $113,000 to $165,000 USD / year
The Continuous Improvement Manager is responsible for leading and driving operational excellence, business process improvement, and lean transformation initiatives across a 550-employee…
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Manager Strategic Risk Adjustment Programs
Highmark Health
Jackson, MS
…Will be responsible for professional coaching and mentoring of program team…
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Vice President, Cloud Platform Engineer
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Jackson, MS
…Terraform, AWS Services, Docker, Kubernetes, and familiar with Git development. The Engineer is expected to provide strategy and implement enterprise-scale automation for scalability,…
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Senior Proposal Manager
Maximus
Jackson, MS
Maximus is thrilled to announce an opportunity for a Senior Proposal Manager. The primary responsibility of this role is to lead cross‑functional proposal teams, including collaboration…
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Delivery Manager, Healthcare Payer
Cognizant
Jackson, MS
- $130,000 to $153,000 USD / year
As a Delivery Manager Healthcare Payer you will make an impact by leading complex healthcare payer transformation programs through platform implementation, modernization, migration, and…
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Systems Administrator – Kiteworks
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Jackson, MS
Support infrastructure workstreams on site and project development efforts, providing solution design input, effort estimates, and technical risk assessment during the planning phase.
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Senior Broker Relationship Manager - Small Commercial
Travelers Insurance Company
Jackson, MS
…employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive…
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Cyber Security Manager - Diego Garcia
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Jackson, MS
…critical infrastructure sectors, is seeking an FRCS Cybersecurity Manager to support a government contract based on the island of Diego…
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Business Systems Analyst (BSA)
Eliassen Group
Jackson, MS
- $70 to $80 USD / hour
…execution. This is not a traditional technical BSA or Project Manager role. The ideal candidate operates as a strategic generalist, helping create structure around priorities, connect…
Added 2 mins ago
CH
Store Manager in Training
CVS Health
Cleveland, OH
- $18.5 to $23.88 USD / hour
The SMIT program is designed to enhance your career as a future store leader. We support your development towards the store manager role by participating in a self-paced, collaborative…
Added 2 mins ago
FBI Historical SME / Visitor Services Representative/Top Secret
LAUKOA
Washington, DC
Benefits - Best-in-class benefits program including medical, dental, and vision insurance; a 401(k) program with employer match; paid vacation and sick leave; employer-paid basic life and…
Added 2 mins ago
CH
Operations Manager
CVS Health
Chicago, IL
- $22.05 to $36.05 USD / hour
Unlike the Store Manager in Training position, the Operations Manager position is not part of the CVS/pharmacy Retail Management Development Program. Operations Managers are not eligible…
Added 2 mins ago
D
Residential House Manager
Dungarvin
Florence, KY
- $52,000 USD / year
As the House Manager you will have oversight and be responsible for coordinating and managing the overall assigned program or programs (residential and/or day program) in relation to…
Added 3 mins ago
CC
Assistant Store Manager
Community Choice Financial Family of Brands
Sulphur, LA
- $16 USD / hour
Assistant Store Manager Check Into Cash Sulphur, LA

Centene Corporation

Manager, Provider Configuration Services

NEW YORK, NY, United States

$87,700 to $157,800 USD / year · Full-time

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Job details

Pay: $87,700 to $157,800 USD / year
Job type: Full-time
Posting language: English
Posted: Oct 31, 2026

Original job description

Business Area: Administrative & Claims Operations

Job Type: Full time

Position Purpose: Represents the highest level of technical expertise in the area of Provider Configuration, Provider, and Network Maintenance while providing leadership and partnering with Fidelis Care New York’s Senior and Executive Management.

Key Details: People Leader managing SLAs, knows configuration well, and can drive process improvements. Facets experience and knowledge highly preferred.

Supports initiatives and business as usual tasks required for Compliance and Provider maintenance, new lines of business development, and innovation projects, Contract Configuration, and Claims Mass Adjustments.
Collaborates with resources across the organization to define, prioritize, staff, and implement business initiatives requiring resources and expertise.
Provides recommendations to the Director, Provider Configuration Services on critical topics concerning resources, technology, and project lifecycle.
Lead and develop a team of cross-trained business analysts and coordinators who support organizational initiatives and business as usual business application maintenance tasks.
Provide updates on staffing, technology, and opportunities in an informative and timely fashion.
Collaborate across the organization to support large and small initiatives while also providing high quality customer service.

Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.

Customer Service: Skilled to communicate with all levels of Management, internal and external customers.

Ability to work well as a member of a team or independently.

Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.

Highly Preferred Experience/Skills

People leadership experience managing a team with accountability for meeting organizational SLAs
Strong understanding of configuration, with the ability to identify and drive process improvements
Facets experience highly preferred
Knowledge of health plan operations
NY residents Highly Preferred
East Coast residents preferred
90% Remote and 10% Travel for in office meetings/trainings

Education/Experience: BA/BS-Bachelors Degree or equivalent in related field required. Three to five years Management experience preferred. Eight or more years experience in Claims Configuration and Provider Network. Five or more years working in TriZetto Facets. Four to six years related experience required. Proficiency in Microsoft Office; Lotus Notes; TriZetto Facets. Provider Network and Claims Configuration working knowledge and experience.Pay Range: $87,700.00 - $157,800.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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

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More about this job

Skills

Regulatory compliance
Sales
Customer service
Business analysis
Problem solving
Leadership
Manage a team
Microsoft Office
IBM Lotus Notes
Mentor individuals

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