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Centene CorporationCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in member outreach and support, with a strong understanding of health plan resources and Social Determinants of Health (SDOH). Proficient in documenting and maintaining non-clinical member records in compliance with state and regulatory requirements.
Highest-signal resume keywords
Member OutreachKnowledge of Health Plan ResourcesDocumentation of Non-Clinical RecordsSocial Determinants of Health (SDOH)Compliance with Policies and Standards
About the role
Key responsibilities & impact- Perform outreach to members by phone regarding care plan next steps, community or health plan resources, scheduling, and ongoing education
- Support members in connecting with health plan and community resources
- Apply working knowledge of assigned health plan activities and resources
- Serve as front-line support for member and provider inquiries, requests, and concerns
- Explain care plan procedures and protocols
- Support member onboarding and day-to-day administrative duties
- Send welcome letters, correspondence, and program educational materials
- Document and maintain non-clinical member records
- Provide records to providers as needed
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Qualified candidates must reside in North Carolina
- High School diploma or GED
- 1–2 years of related experience
- Knowledge of existing benefits and resources locally
- Ability to make referrals to address Social Determinants of Health (SDOH) needs
- Ability to comply with all policies and standards
- Ability to document and maintain non-clinical member records in accordance with state and regulatory requirements
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity and diversity commitment
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Documenting Member RecordsUnderstanding Care Plan ProceduresMaking ReferralsAdministrative DutiesOnboarding Support
Soft Skills
Communication SkillsProblem-Solving SkillsInterpersonal Skills
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Health Plan ActivitiesCommunity ResourcesMember SupportProvider InquiriesNorth Carolina Residency