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.

**Must live in Oklahoma

Oklahoma Complete Health, a Centene company, is committed to providing quality healthcare solutions to transform the health of Oklahomans.

At Oklahoma Complete Health, we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development. Join us and be a part of a collaborative, growing network of innovative thinkers delivering solutions at the local level.

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\xe2\x80\x99s 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.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.

Oklahoma Complete Health