Centene Corporation·New York
Supports the prior authorization process by documenting medical information and ensuring requests are addressed within contractual timelines. Performs data entry into the utilization management system and tracks authorizations and referrals according to guidelines.
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.
Position Purpose: Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline.
Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.
Supports authorization requests for services in accordance with the insurance prior authorization list Supports and performs data entry to maintain and update authorization requests into utilization management system Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines Contributes to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination Remains up-to-date on healthcare, authorization processes, policies and procedures Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a High School diploma or GED.
Entry-level position typically requiring little or no previous experience.
Understanding of medical terminology and insurance preferred.
Pay Range: $16.35 - $23.46 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, 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 Thanks for your interest in Centene and its subsidiary companies.
We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose.
Also, we’re here to help support you on your candidate journey.
Should you need an accommodation, please email recruiting@centene.com.
Centene is committed to helping people live healthier lives.
We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.
Requires a High School diploma or GED. This is an entry-level position where understanding of medical terminology and insurance is preferred.
Market context
Administration roles in New York are often in steady demand across healthcare settings, especially when candidates can support compliance, coordination, and day-to-day operations. These positions are competitive because employers may prefer a bachelor’s degree, with added value for life sciences, public health, or advanced medical credentials, plus ACRP or SOCRA certification. Review the AI-summarized requirements and benefits here to save research time, then tailor your application to show relevant administrative and regulatory experience.
