Jobs in the United States

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Added 14 mins ago
G
Scheduling Manager
GPAC
Minneapolis, MN
- $145,000 to $180,000 USD / year
Prepare schedule reports and executive-level schedule narratives.
Added 19 mins ago
Financial Affairs Analyst - Financial Affairs Support Team (FAST)
University of Wyoming and Subdivisions
Laramie, WY
Added 26 mins ago
PG
Manager, Retail Consultancy
Publicis Groupe Holdings B.V
Minneapolis, MN
- $75,050 to $107,835 USD / year
The Manager supports the Director on the development of strategic retailer media plans, and acts as a key liaison to retail vendor partners facilitating needed executional elements. The…
Added 27 mins ago
A
Remote Coding Manager
Amergis
Independence, OH
- $70,000 to $90,000 USD / year
…assigned to one or more Medical Centers. The Remote Coding Manager serves as a liaison to the facility(s) HIM staff in resolving identified…
Added 27 mins ago
Manager Salesforce Applications
Advanced Drainage Systems, Inc.
Hilliard, OH
…production stability, governance, vendor management, and talent development. The Manager also advances automation and responsible AI capabilities while ensuring solutions remain secure,…
Added 27 mins ago
EC
Senior Counsel, Mergers & Acquisitions
Eaton Corporation
Beachwood, OH
- $200,000 to $250,000 USD / year
Provide legal advice, counsel and service to Strategy and Corporate Development, business and legal teams in connection with M&A and corporate development matters.
Added 28 mins ago
Key Account Manager
Worthington Enterprises
Columbus, OH
The Key Account Manager will lead the commercial strategy for assigned accounts, including account planning, opportunity development, pricing and contract alignment, executive relationship…
Added 34 mins ago
ConvergeHEALTH Life Sciences - Product Management & Strategy Manager - Products & Platforms
Deloitte
Saint Louis, MO
As a Product Manager for Market Access AI, you will shape the strategic direction of a next-generation market access platform that is transforming how pharmaceutical and biotech commercial…
Added 34 mins ago
ConvergeHEALTH Life Sciences - Product Management & Strategy Manager - Products & Platforms
Deloitte
Kansas City, MO
As a Product Manager for Market Access AI, you will shape the strategic direction of a next-generation market access platform that is transforming how pharmaceutical and biotech commercial…
Added 37 mins ago
FC
Communications Assistant (Administrative Associate)
Fairfax County
Fairfax, VA
- $29.28 to $51.23 USD / hour
Serves as the primary backup to the Board Support and Training Manager and supervises a three-person team of Board Support and Training (formerly Communications) staff. Prepares written…
Added 37 mins ago
FC
HR Enterprise Strategic Initiative Program Manager
Fairfax County
Fairfax, VA
- $52.62 to $92.09 USD / hour
…leader to serve as the HR Enterprise Strategic Initiatives Program Manager. This role reports to Fairfax County’s Human Resources (HR) Director and leads high visibility, countywide human…
Added 37 mins ago
FC
Labor Relations Division Director (Human Resources Division Director)
Fairfax County
Fairfax, VA
- $57.04 to $108.38 USD / hour
This position manages and directs the labor relations division in the Department of Human Resources. Program activities include negotiation of collective bargaining agreements; contract…
Added 45 mins ago
PH
Clinical Coordinator, Orthopedics-Spine, Full-Time
Prisma Health Medical Group-Midlands
Columbia, SC
- Full-time
This is a non-management job that will report to a supervisor, manager, director or executive.
Added 1 hour ago
SB
Licensed Behavioral Health Program Manager II - Community Outpatient Clinics*
San Bernardino County
San Bernardino, CA
- $53.66 to $75.8 USD / hour
…professionals to apply for the position of Licensed Behavioral Health Program Manager II overseeing Outpatient Community Clinics. This is an exciting leadership opportunity for a…
Added 1 hour ago
PEER REVIEW DATA ANALYST/REGULATORY AFFAIRS SPECIALIST
Covenant HealthCare
SAGINAW, MI
Coordinates the development of the OPPE universal and department specific measures and other focus reviews as assigned.
Added 1 hour ago
Registered Nurse (Women's Health Nurse Manager)
Veterans Affairs, Veterans Health Administration
Fort Harrison, MT
Added 2 hours ago
CO
Deputy Director of Economic Development
City of Fairfax
Fairfax, VA
- $107,763 to $189,761 USD / year
…and communications, and tourism and placemaking, and provides executive oversight of the programs, entrepreneurship, and small business portfolios. The Deputy Director works with the City…
Added 2 hours ago
Associate Refinery Operations Specialist
Delek US Holdings
Krotz Springs, LA
…management, and better sleep. Through our performance management program, you can earn additional annual incentives as you set and achieve goals. Our pay for performance culture motivates…
Added 2 hours ago
Senior Technical Program Manager, Engineering Strategy & Business Operations
Keysight Technologies, Inc.
Santa Rosa, CA
We are looking for a Senior Technical Program Manager to lead analysis, scoping and initial planning of high-priority strategic initiatives for HFTC Engineering. The role will initially…
Added 2 hours ago
Territory Manager, CMEMS -- Des Moines Metro
Abbott
Cedar Rapids, IA
Account Management & Program Development: Conduct quarterly business reviews with key accounts to assess performance and identify growth opportunities. Partner effectively with Clinical…
Added 2 hours ago
Customer Success Manager, AI Products - MCP Manager
Usercentrics
NY · New York, NY
…that same mission of trust and control into the AI era. MCP Manager (MCPM) is our newest product: a governance and management platform for Model Context Protocol (MCP), the emerging…
Added 2 hours ago
Senior Manager of Customer Success
Healthix
NY · New York, NY
THE ROLE: We are seeking a strategic, relationship-driven Senior Manager of Customer Success with proven healthcare industry experience to own a portfolio of complex, high-priority accounts…
Added 2 hours ago
Data Center Facility Operations Area Director
Meta
Honolulu, HI
Own org health as a measured outcome - Meta’s Pulse indicator, attrition, upward feedback, and manager effectiveness - and diagnose and resolve complex health issues spanning multiple teams…
Added 2 hours ago
Registered Nurse (RN) - Behavioral Health
UHS
CAPE GIRARDEAU, MO
…advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are proud of our robust continuing education options and…
Added 2 hours ago
Registered Nurse (RN) - New Graduate
UHS
SOUTH ATTLEBORO, MA
…advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are proud of our robust continuing education options and…

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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