Senior Manager, Payment Integrity

Centene
Missouri, Georgia, North Carolina, Texas, Illinois, Florida
Workplace: RemoteFull timeUSD 107,700 - 199,300 annuallyFunction: Solutions Engineering & Sales EngineeringExperience: 6+ yearsEducation: bachelorsSkills: ["Monitoring","Process improvement","Collaboration","Analysis","Presentation"]

Oversee and monitor internal and external cost recovery and cost containment initiatives, aligning vendor savings with targeted project metrics and forecasted recovery goals. Lead partnerships with health plans to identify and contain costs through national vendor collaboration, develop annual budgets and projected savings targets, and streamline processes to reduce costs. Present reporting and trend insights to senior management, ensuring teams understand the rules and compliance processes for cost recovery.

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Centene
Centene
3 days ago

Senior Manager, Payment Integrity

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Last checked: 4 hours agoStatus: Live

Job Summary

Oversee and monitor internal and external cost recovery and cost containment initiatives, aligning vendor savings with targeted project metrics and forecasted recovery goals. Lead partnerships with health plans to identify and contain costs through national vendor collaboration, develop annual budgets and projected savings targets, and streamline processes to reduce costs. Present reporting and trend insights to senior management, ensuring teams understand the rules and compliance processes for cost recovery.
Location: Missouri, Georgia, North Carolina, Texas, Illinois, Florida
Workplace: Remote
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Sr. Manager level

Key Responsibilities

  • •Oversee and monitor internal and external cost recovery and cost containment initiatives against targeted project metrics and forecasted goals.
  • •Manage internal and external vendors’ cost avoidance and cost recovery initiatives.
  • •Develop annual budgets and projected target savings for each national vendor and help drive achievement.
  • •Evaluate and streamline existing processes and implement new processes to reduce costs.
  • •Compile and present reporting packages to senior management on cost avoidance and cost recovery initiatives.

Pay and Benefits

Salary: USD 107,700 - 199,300 annually
Equity and Bonus:Equity
Perks:Health Insurance401kEquityPaid LeaveRemote Work

Key Requirements

  • •Bachelor’s degree in Accounting, Finance, Healthcare Management, or a related field (or equivalent experience).
  • •6+ years of data analysis, finance, or accounting experience.
  • •Experience with government programs auditing and compliance monitoring programs (preferred).
  • •Project management experience (preferred).
Experience:6+ yearsData analysisFinanceAccountingGovernment programs
Education:Bachelor's in Accounting, Finance, Healthcare Management, related field
Skills:MonitoringProcess improvementCollaborationAnalysisPresentation

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn