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Senior Manager, Payment Integrity

Centene Management Company LLC

LocationUnited States
SenioritySenior Manager
CompanyCentene Management Company LLC
Recently checkedAug 18
Compensation

$108k-$199k

Salary details are shown when available from the source listing. Sign in before applying so the role can be reviewed against your resume, salary goals, seniority, timezone, and location eligibility.

Requirements and working style

Decision details from the source listing

Experience

6+ years stated

Education

Bachelor’s degree in Accounting, Finance, Healthcare Management or related field, or equivalent experience

Schedule

flexible

Benefits stated
competitive payhealth insurance401Kstock purchase planstuition reimbursementpaid time offholidaysflexible work approach including remote, hybrid, field or office schedules

These fields are normalized from the employer's text. Confirm details on the employer site before applying.

WFH.team analysis

What this posting tells you

Senior Manager role at Centene overseeing payment integrity and cost recovery initiatives. Position is remote with flexible work options in the United States. Requires 6+ years experience in data analysis, finance or accounting with preferred knowledge in government programs auditing and project management. Salary range $107,700 to $199,300. Benefits include health insurance, 401K, tuition reimbursement, paid time off, and flexible schedules.

Role lane

Accounting, Care coordination, Customer success, Data, Education, Finance and investments, Healthcare admin, Product, Security

Where you can work

United States

Working hours

Timezone overlap is not stated.

Arrangement

Senior Manager · part_time · full_time

Required signals
DataGoHealthcaredata analysisfinanceaccountingproject managementgovernment programs auditingcompliance monitoring
Preferred signals
government programs auditingcompliance monitoring programsproject management
Confirm before applying
  • Required timezone overlap is not stated
Market context

Care coordination hiring on WFH.team

284active related roles
250new in the latest period
1494.7jobs per 100 candidates
$59kmedian of comparable listed ranges

This role's listed pay is above the median among 89 comparable roles shown here. Category counts come from WFH.team's latest published remote job market snapshot.

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Skills and signals
DataGoHealthcaredata analysisfinanceaccountingproject managementgovernment programs auditingcompliance monitoringcompliance monitoring programsRemote / Remote-MO / United States of America / 6 Locations
Job description

Senior Manager, Payment Integrity at Centene Management Company LLC

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose

Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.

  • Manage internal and external vendors cost avoidance and cost recovery initiatives
  • Partner with health plans to identify and contain cost through collaboration with national vendors for each recovery category
  • Develop annual budget and projected target for each national vendor and assist them with achieving projected annual savings
  • Evaluate and streamline existing processes and implement new processes to reduce costs
  • Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans
  • Assist health plans in understanding the rules, regulations and processes around cost recovery
  • Monitor other departments’ performance and processes and evaluate for cost recovery
  • Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience

Bachelor’s degree in Accounting, Finance, Healthcare Management, 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.

Pay Range: $107,700.00 - $199,300.00 per year

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

Company context

Working remotely at Centene Management Company LLC

Centene Management Company LLC is hiring for 16 active remote roles, with remote-friendly openings, application links, and job details refreshed from the public remote job inventory.

Remote policy

Remote hiring signal is inferred from active confirmed-remote job listings.

Research Centene Management Company LLC