Jobs in the United States

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Director, Compliance & Quality Systems
Jobgether
Remote, United States
…steps. Our partner is looking for a Director, Compliance & Quality Systems based in the United…
Added just now
BC
Right of Way Project Manager
Bowman Consulting Group, Ltd.
Reston, VA
- $100,000 to $133,000 USD / year
Bowman has an opportunity for a Right of Way Project Manager to join our team remotely.
Added 4 mins ago
IT Services Manager
Natural and Cultural Resources
Randolph County, NC
Must have a valid driver’s license issued from within the United States or be able to obtain one within 90 days of employment
Added 12 mins ago
Lead Marketing Production - Digital Execution Consultant – Digital Execution
Wells Fargo Bank, N. A.
CHARLOTTE, NC · IRVING, TX · MINNEAPOLIS, MN
Must be able to work from one of the approved jobs posting locations three (3) days in office & two (2) days remote
Added 13 mins ago
Construction Manager
Black Box
BOWLING GREEN, OH
…schedule, cost, profit and budget, Construction reporting, quality review and…
Added 16 mins ago
Maintenance Planner
IKO
Ironton, MO
…of unparalleled success in the roofing materials industry. Quality, integrity, and trustworthiness are the values that underlie this success, and we have built this company by hiring people…
Added 16 mins ago
Quality & EHS Supervisor
Nucor Steel Auburn, Inc.
Maryville, MO
Nucor Wire Products Missouri is seeking a Quality & Environmental, Health and Safety (Q & EHS) Supervisor to serve on the NWPMO leadership team and advance Nucors Mission. This position…
Added 16 mins ago
Sales Manager
Camping World
Grain Valley, MO
Valid driver's license required
Added 16 mins ago
Dealership Sales Manager
Camping World
Strafford, MO
Valid driver's license required
Added 16 mins ago
Clinical Project Manager (Early Clinical Development, Home-Based)
IQVIA
Florissant, MO
Developing appropriate early warning systems of potential obstacles to the successful completion of the projects; analyzes information and develops innovative solutions to challenges
Added 16 mins ago
Manager, IT Audits
Liberty Utilities
Joplin, MO · Branson, MO · Bolivar, MO · Buffalo, MO · Forsyth, MO · Republic, MO · Ozark, MO · Anderson, MO · Maryville, MO · Pierce City, MO · Jackson, MO · Hollister, MO · Willard, MO · Platte City, MO · Nevada, MO · Reeds, MO · Seneca, MO · Kirksville, MO · Sedalia, MO · Greenfield, MO · Lockwood, MO · Humansville, MO · Neosho, MO · Clinton, MO · Strafford, MO · Caruthersville, MO · Malden, MO · Chillicothe, MO · Noel, MO · Sikeston, MO · Billings, MO · Hannibal, MO · Webb City, MO · Granby, MO · LaRussell, MO · Marshall, MO · Henrietta, MO · Nixa, MO · Butler, MO · Stockton, MO · Aurora, MO
…(e.g., SCADA, energy management, and distribution management…
Added 16 mins ago
Safety Manager
Transdev
St Louis, MO
The Safety & Security Manager contributes to the transportation safety management process and provides overall support and technical guidance as it pertains to operational safety.…
Added 16 mins ago
Associate Account Manager, Commercial Employer Market Account Team Support - Express Scripts - Hybrid
The Cigna Group
St. Louis, MO
The Associate Account Manager (AAM) provides operational and data-focused support to the account teams of assigned clients and coalitions. The AAM manages reporting requests, submits and…
Added 16 mins ago
Senior Manager - Cybersecurity Compliance
CVS Health
Jefferson City, MO
The Senior Manager of Cybersecurity Compliance will lead and execute strategic initiatives related to Regulatory Compliance for CVS Health’s Enterprise Information Security team, guiding…
Added 17 mins ago
Technology Demand Admin-Staff or Senior
Intermountain Health
Jefferson City, MO
The hiring manager is considering applicants who have experience working in a healthcare environment with an understanding of clinical workflows, patient care processes, and technology…
Added 17 mins ago
Production Network Manager, Backbone Engineering
Meta
Jefferson City, MO
Meta's global network, comprised of cutting-edge platforms, is looking for a Network Engineering Manager to join the Backbone and Edge Engineering team focused on our Software Defined…
Added 17 mins ago
C
Program Manager / Implementation Lead (Ketryx)
Cognizant
Jefferson City, MO
- $83,000 to $94,500 USD / year
As a Ketryx Program Manager , you will make an impact by leading the implementation of Ketryx and associated quality and engineering platforms in a regulated environment. You will be a…
Added 17 mins ago
C
Program Manager/ Implementation Lead (Ketryx)
Cognizant
Jefferson City, MO
- $83,000 to $94,500 USD / year
As a Ketryx Program Manager , you will make an impact by leading the implementation of Ketryx and associated quality and engineering platforms in a regulated environment. You will be a…
Added 17 mins ago
Associate, Product Support - SBO - Remote
SitusAMC
Jefferson City, MO
…stakeholders, and plays an important support role in delivering systems and services to SitusAMC SBO…
Added 17 mins ago
Diesel Technician Apprentice-Paid Training
Republic Services
Jefferson City, MO
At Republic Services, Technicians play a critical role in maintaining the performance and quality of our fleet. A Technician performs routine and preventive maintenance on diesel and…
Added 17 mins ago
Construction Project Senior Manager - Data Center Infrastructure
CBRE
St. Louis, MO · Kansas City, MO
Keyresponsibilities will include establishing the program schedule andensuring the established targets are met regarding schedule, cost,functionality, quality, safety, and customer…
Added 17 mins ago
Sr Project Manager - AI Data Centers
Jacobs
Kansas City, MO
…leading complex, multi-discipline programs as a Senior Project Manager (CA) Lead, across OE, EPCM, and Design-Build delivery, working alongside the most recognized hyperscale owners,…
Added 17 mins ago
Senior Civil Engineer SME - AI Data Centers
Jacobs
Kansas City, MO · Saint Louis, MO
…are setting the civil engineering standards, governing the quality of civil deliverables produced by project teams and Global Integrated Delivery (GID) partners, mentoring the next…
Added 17 mins ago
Assistant Construction Manager - Power Generation Self Perform (Multiple Locations)
AZCO
Kansas City, MO
The Assistant Construction Manager will assist the Construction Project Manager, Project Manager, Site Manager, and/or Program Manager with day-to-day management of project safety, quality,…
Added 17 mins ago
GA
Director, Architecture and Data
GE Aerospace
Kansas City, MO · Saint Louis, MO
- $152,000 to $202,000 USD / year
…data foundation real, the role also delivers the Defense & Systems Data Fabric, coordinating with the Data Fabric Sr Principal Technical Product Manager and the Principal Architects for…

Centene Corporation

Manager, Provider Data Management

Springfield, IL, United States

$70,100 to $126,200 USD / year · Full-time

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Job details

Pay: $70,100 to $126,200 USD / year
Job type: Full-time
Posting language: English
Posted: Jul 23, 2026

Original job description

Business Area: Administrative & Claims Operations

Job Type: Full time

Note: This is a fully remote role with Central time (CST) working hours along with 10% travel. 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.

Position Purpose: Within the Illinois Health Plan, the Provider Data Manager leads inventory, quality, production, and employee development while ensuring accountability, operational excellence, and a culture of trust. They partner across departments, drive process and system improvements, and leverage dashboards and data-driven insights to enhance efficiency, decision-making, and organizational outcomes. The Manager Provider Data Management is responsible for managing the activities that support all provider data management projects, policies and procedures, along with provider contract setup activities, key initiatives that relate to operational issues for provider data maintenance, key initiatives that support successful claims adjudication, directory accuracy as well as other operational projects that support internal departments. Works in conjunction with Credentialing for the set up and maintenance of all delegated entity arrangements. Responsible for overseeing the development of reports to support the strategic and operational requirements of the department.

Identifies and implements value-added programs and initiatives that support and enhance network contracting to achieve operational efficiency.
Acts as main contact for internal departments on projects that require changes to business applications (provider, contracts, and claims) on the system.
Meets with internal departments to identify project requirements and ensure satisfactory project completion.
Works with Information Systems Department on special projects.
Supervises staff and directs and monitors the staff activity.
Conducts reviews, one on ones and provides monthly statistics to staff on their performance.
Ensures staff is meeting both quality and production scores.
Turnaround times for production standards should also be carefully monitored and reported.
Maintains detailed understanding and working knowledge of business applications specifically provider data management, provider reimbursement, and claims processing on the system.
Develops cost benefit analysis for projects to assist in prioritization and project justification.
Works with other internal departments in the development of such policies and procedures and updates such policies and procedures in manual and training as needed.
Heads meetings to discuss and communicate new business workflows and new policies and procedures.
Conducts training for both internal and external departments on provider data services policies and procedures.
Resolves issues within internal departments related to interpretation of contracts or policies.
Defines reporting and information initiatives with internal and external customers to support strategic and operational requirements.
Performs ad-hoc reporting as necessary to meet strategic and operational requirements.
Maintains provider data integrity guidelines for delegated credentialing vendors.
Prioritizes data analysis projects based on business needs.
Designs and develops workflows, protocols, and process models for use with standard and ad-hoc reports.
Maintains, tests, and revises current data analysis programs.
Manages input data from various internal and external sources.
Performs other duties as assigned.
Complies with all policies and standards.

Preferred Skills:

Strong history of leadership roles with direct reports.

Proficient in Microsoft Office Suite, especially Excel, Visio, and Word.

Good communication and meeting facilitation skills.

Knowledge and experience working with Portico, Amisys, Directory, and other provider-related systems.

Required Education/Experience:

Bachelor’s degree required for this role in business administration, Health Care, or a related field.

1-3 years management experience in a business setting required.

Minimum (3) years' experience working in a health care setting, preferably with a background in provider relations, provider data services, information technology or claims operations. Experience developing new business processes and procedures.

Pay Range: $70,100.00 - $126,200.00 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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Jobs in the United States