Senior Director, Payment Integrity - Audit Programs at Centene

This role is designed for a heavyweight healthcare operations leader with at least 10 years of experience in Payment Integrity or healthcare auditing. The ideal candidate must be a clinical or coding expert holding credentials like RHIA, CCS, or RN, with a deep understanding of complex reimbursement methodologies (DRG, ICD-10) and the strategic mindset to lead enterprise-wide audit programs. Centene offers a highly competitive salary range and a robust benefits package including stock purchase plans and tuition reimbursement. This is a fully remote position that provides significant influence over the financial health of a major national organization, allowing you to bridge the gap between clinical data, technology, and financial governance from anywhere in the U.S. **You might be a good fit if you...** * Have 5+ years of experience managing prepay edits, postpay audits, or fraud, waste, and abuse (FWA) programs. * Hold a coding credential (CCS, RHIT, etc.) and ideally have a background as a Registered Nurse. * Are a subject matter expert in Medicare/Medicaid managed care plans and reimbursement systems. * Can lead cross-functional teams and external vendors to drive multimillion-dollar medical cost savings.