Ownership Submission
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
Darnley Patti
  2. Issuer Name and Ticker or Trading Symbol
CENTENE CORP [CNC]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Sr. VP of Operations
(Last)
(First)
(Middle)
7711 CARONDELET AVENUE
3. Date of Earliest Transaction (Month/Day/Year)
12/12/2007
(Street)

ST. LOUIS, MO 63105
4. If Amendment, Date Original Filed(Month/Day/Year)
6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/12/2007   A   2,500 A $ 24.79 15,000 (1) D  
Common Stock 12/12/2007   F   487 (2) D $ 24.79 14,513 (3) D  
Common Stock 12/13/2007   F   325 (2) D $ 25.23 14,188 (3) D  

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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(Month/Day/Year)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Common Stock Option (right to buy) $ 24.79 12/12/2007   A   5,000   12/12/2012(4) 12/12/2017 Common Stock 5,000 $ 0 5,000 D  
Phantom Stock $ 0 (5) 12/14/2007   A   39.547 (6)   12/14/2007 12/14/2007(7) Common Stock 39.547 $ 24.8 1,302.172 D  
Common Stock Option (right to buy) $ 18.69             08/26/2009 08/26/2014 Common Stock 40,000   40,000 D  
Common Stock Option (right to buy) $ 26.07             12/08/2009 12/08/2014 Common Stock 25,000   25,000 D  
Common Stock Option (right to buy) $ 25.4             12/13/2010 12/13/2015 Common Stock 7,500   7,500 D  
Common Stock Option (right to buy) $ 25.21             12/12/2011 12/12/2016 Common Stock 5,000   5,000 D  

Reporting Owners

Reporting Owner Name / Address Relationships
 Director  10% Owner  Officer  Other
Darnley Patti
7711 CARONDELET AVENUE
ST. LOUIS, MO 63105
      Sr. VP of Operations  

Signatures

 /s/ J. Per Brodin (executed by attorney-in-fact)   12/14/2007
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) Ms. Darnley's ownership includes this award of 2,500 restricted stock units which vest in four annual installments over a four year period. Vesting of this grant is predicated on a one year performance condition being met. In addition, ownership includes previous grants of 9,000 restricted stock units subject to vesting requirements.
(2) Shares withheld for taxes upon vesting of previously reported stock grant.
(3) The options vest in five equal annual installments on the anniversary of the grant date beginning on December 12, 2008.
(4) Ms. Darnley's ownership includes 11,500 restricted stock units subject to vesting requirements.
(5) Each share of phantom stock represents the right to receive the fair market value of one share of Centene common stock.
(6) The phantom stock was acquired through regular scheduled payroll contributions to the Company's deferred compensation plan.
(7) The phantom stock has no formal expiration date. The phantom stock will be settled in cash or other non-Company securities upon Ms. Darnley's termination with the Company or on such other date Ms. Darnley may elect.

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