Posted:
4/14/2026, 7:47:36 AM
Location(s):
Texas, United States
Experience Level(s):
Mid Level ⋅ Senior
Field(s):
Medical, Clinical & Veterinary
Workplace Type:
Hybrid
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.
Required Work Schedule: Monday – Friday: 9 am – 6pm (CST), and a rotational Weekend Day shift, either Saturday or Sunday. Flexibility is required.
Candidates must be licensed by the state of Texas AND must reside in Texas.
Position Purpose: Performs clinical reviews of clinical therapy services and/or durable medical equipment to members based on service request assessments and provides clinical expertise based on practice standards. Works with senior management to identify ways to improve the review and execution of therapy services based on clinical reviews of service request assessments.
Education/Experience: Requires a Bachelor's degree and minimum of 2 – 4 years of related specialty therapy experience (e.g. OT, PT, and SLP).
Preferred Education/Experience:
Master’s degree in area of specialty therapy and 7+ years of experience providing therapy services in-patient, outpatient, home health, and/or managed care settings preferred.
Clinical knowledge of clinical therapy services, durable medical equipment, and assisted therapy devices preferred.
Experience with Adult and Pediatric Therapy experience preferred
Advanced clinical knowledge and ability to assess member needs in context of treatment and therapy authorizations
Knowledge of therapy regulations and guidelines preferred.
Knowledge of utilization management processes preferred.
Role requires adaptability and flexibility to business changes and new work and technology processes
Strong communication, strong attention to detail, organizational and time management skills
Microsoft Office applications (Co-Pilot, Excel, Outlook, Word, OneNote) and the ability to use multiple avenues of digital communication (e.g. instant messaging, email, phone, video conferencing)
Comfortable using digital video conferencing platforms (Zoom, MS Teams) is required
Licenses/Certifications: Required
OT–Occupational Therapist- Registered required or
PT - Physical Therapist required or
CCC-SLP - Speech-Language Therapist required and must have an active Certificate of Clinical Competence (CCC) from the American Speech-Language-Hearing Association.
Pay Range: $30.57 - $55.09 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
Website: https://centene.com/
Headquarter Location: St Louis, Missouri, United States
Employee Count: 10001+
Year Founded: 1984
IPO Status: Public
Industries: Enterprise ⋅ Health Care ⋅ Hospital