Offer summary

Qualifications:

Associate’s degree in a related area or equivalent experience., 1+ years of community relations or public health/service experience, preferably in a managed care or pediatric environment., Strong understanding of EPSDT program requirements and compliance standards., Excellent communication and organizational skills..

Key responsabilities:

Plan, organize, and coordinate all aspects of the EPSDT program.

Conduct outreach to encourage enrollees to access preventative care and assist with appointments.

Monitor provider compliance with EPSDT program and communicate its importance to providers.

Develop newsletters and coordinate improvement plans to meet performance goals.

Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

THIS POSITION IS REMOTE/WORK FROM HOME WITH POTENTIAL UP TO 25% TRAVEL WITH MILEAGE REIMBURSEMENT AT THE CURRENT IRS GUIDELINE RATE.

APPLICANTS MUST RESIDE IN THE STATE OF ILLINOIS. THE WORK SCHEDULE IS MONDAY - FRIDAY 8AM - 5PM CENTRAL TIME ZONE.

Position Purpose: Plan, organize, and coordinate all aspects of the EPSDT (Early Preventative Screening Diagnostic Testing) program. Ensure compliance of EPSDT with all state and federal requirements and NCQA standards.

Conduct outreach to encourage enrollees to access preventative care and assist with making appointments/arrangements as necessary
Monitor provider compliance with EPSDT program
Collaborate with and communicate to providers the importance of all aspects of the EPSDT program, including blood testing, immunization schedules, and periodicity schedule compliance
Maintains appropriate records, files, documentation, etc.
Develop newsletters, articles, and web postings centered on EPSDT elements directed at members and providers
Assist in development, implementation and coordination of improvement plans to obtain/surpass the performance goals set by the Health Plans
Coordinate with other Health Plan departments and strategize improvement plan interventions and appropriate outreach activities.
Facilitate EPSDT related reviews and follow up that are initiated by the state
Attend EPSDT related DOH meetings as appropriate

Education/Experience: Associate’s degree in related area or equivalent experience. 1+ years of community relations or public health/service experience, preferably in a managed care or pediatric environment.

Pay Range: $22.79 - $38.84 per hour

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. Total compensation may also include additional forms of incentives.

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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