Centene cuts 69 roles in Hawaii amid Medicaid exit

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Centene is laying off 69 employees in Hawaii, according to a Nov. 2 WARN filing.

The terminations are all permanent. The layoffs span four locations, with 56 of the affected employees based at one office in Honolulu.

Affected roles include a plan CFO, vice presidents and managers. While terminations start Jan. 4, individual exits will also take place Jan. 29 and Feb. 26. 

These employees do not have labor organization representation or displacement rights. They are eligible for severance benefits, the notice said. 

Centene’s ‘Ohana Health Plan is leaving Hawaii’s Medicaid managed care program, QUEST, Dec. 31. The insurer previously told Becker’s that it also did not bid on the contract for Community Care Services, a behavioral health managed care program. Centene’s work for that program ended Oct. 31. 

More broadly, Centene’s headcount dropped 11.8% from the end of 2025, according to the company’s third-quarter earnings report. The company incurred $276 million in severance costs, resulting from enterprise optimization and contract exits, during the third quarter of 2026. 

Becker’s has reached out to Centene for comment and will update this story if more information becomes available.

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