Senior Director, Payment Integrity - Regulatory Oversight at Centene

This role is designed for a seasoned leader with a deep background in healthcare compliance and Payment Integrity (PI). The ideal candidate brings at least 10 years of experience navigating the complexities of managed care, specifically within Medicaid and Medicare environments. You should be an expert at translating federal and state regulations into actionable operational requirements while leading cross-functional teams through audits and corrective actions. The position offers a highly competitive salary range ($148k - $274k+) and the benefit of a fully remote work arrangement. As a senior leader, you will have significant enterprise-wide influence, overseeing the regulatory intelligence and governance frameworks that protect a massive 28-million-member organization. Centene also provides a robust benefits package including stock purchase plans and tuition reimbursement. **You might be a good fit if you...** * Have a decade of experience in PI functions, claims operations, or regulatory audit oversight. * Are skilled at managing high-stakes audits from CMS or state Medicaid agencies. * Can simplify complex legal and regulatory language for technical and clinical teams. * Thrive in a matrixed environment where you must influence executive leadership and resolve systemic compliance risks.