Senior Director, Payment Integrity - Governance at Centene
**Who this is for**
This role is designed for a seasoned leader with at least 10 years of experience in compliance, managed care, or CMS investigations. The ide
Work type: remote
Location: Remote-MO
Salary: $148,000 – $274,200/yr
Type: Full-time
**Who this is for**
This role is designed for a seasoned leader with at least 10 years of experience in compliance, managed care, or CMS investigations. The ideal candidate has deep expertise in Payment Integrity, specifically regarding fraud, waste, and abuse (FWA) prevention, and possesses a strong background in medical coding audits and Medicaid regulations.
**Key highlights**
This is a high-impact, fully remote leadership position offering a generous salary range and a comprehensive benefits package, including a stock purchase plan and tuition reimbursement. You will have the authority to shape corporate policies, implement new software solutions, and oversee the governance of payment audits for a massive national member base.
**You might be a good fit if you...**
* Have an extensive background in Special Investigation Units (SIU) or Managed Care compliance.
* Are skilled at translating complex audit results into actionable strategies for executive leadership.
* Feel confident designing auditing processes from initial analytics through final reporting.
* Can ensure strict adherence to federal and state Medicaid guidelines while managing remote teams.
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