Job Overview
Location
Remote-AZ
Job Type
Full-time
Category
Customer Service
Date Posted
May 7, 2026
Full Job Description
đź“‹ Description
- • As a Senior Marketplace Member Liaison HICS at Centene Corporation, you will play a critical role in resolving Health Insurance Casework System (HICS) complaints for the Marketplace line of business, directly impacting the experience of 28 million members by ensuring their concerns are addressed fairly and in compliance with federal and state regulations.
- • Your day-to-day responsibilities include reviewing, investigating, and resolving member inquiries related to HICS; interpreting complex CMS guidelines into clear explanations for members; using multiple systems to identify root causes of issues; drafting formal narratives to CMS and member communications; analyzing trends in member feedback to recommend process improvements; ensuring compliance with state and federal laws; conducting quality reviews before case closure; monitoring case turnaround times; and supporting audits and special projects as needed.
- • You will be part of a dedicated team within Centene’s diversified national organization, which is committed to transforming community health through accessible, equitable care. The role operates with regular Monday–Friday hours (8am–5pm CST) and includes a rotating Saturday shift every third week, offering structure while supporting work-life balance.
- • In this role, you will develop deep expertise in healthcare regulatory compliance, particularly around ACA, Medicare, and Medicaid systems; strengthen your analytical and investigative skills; gain experience in process improvement and quality assurance; and build credibility as a trusted advisor between members, internal teams, and regulatory bodies—positioning you for advancement in healthcare operations, member services, or compliance leadership.
🎯 Requirements
- • Bachelor’s degree in a related field or equivalent experience
- • 2+ years of data management or data analytics experience
- • Experience in Medicare, Medicaid, Managed Care, or ACA/Commercial Insurance industry (preferred)
- • Member, provider, or customer service experience (preferred)
🏖️ Benefits
- • Competitive pay ranging from $27.02 to $48.55 per hour
- • Comprehensive benefits package including health insurance, 401K, and stock purchase plans
- • Tuition reimbursement and paid time off plus holidays
- • Flexible work arrangements with remote, hybrid, field, or office options
Skills & Technologies
About Centene Corporation
Centene Corporation is a publicly traded managed-care enterprise that arranges health-benefit programs for government-sponsored and privately insured individuals. Operating across all 50 U.S. states and internationally, the company focuses on under-insured and uninsured populations through Medicaid, Medicare, and Marketplace offerings. Its services include behavioral health, pharmacy benefits, vision, dental, telehealth, and in-house clinical programs. Centene partners with physicians, hospitals, and community organizations to coordinate cost-effective care, emphasizing data analytics and value-based reimbursement models. Headquartered in St. Louis, Missouri, it serves more than 25 million members, positioning itself as a leading intermediary between payers and healthcare providers.
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