Senior Manager, Payment Integrity - Vended Audit Programs at Centene

**Who this is for** This senior-level role is designed for a seasoned finance or data analysis professional who can lead and oversee critical payment integrity

Work type: remote

Location: Remote-MO | Remote-TX | Remote-FL | Remote-CA

Salary: $107,700 – $199,300/yr

Type: Full-time

Summary

**Who this is for** This senior-level role is designed for a seasoned finance or data analysis professional who can lead and oversee critical payment integrity initiatives, focusing on cost recovery and containment for Centene's Health Plans through effective management of internal and external audit programs. **Key highlights** As a Senior Manager, you will be responsible for developing budgets, evaluating processes, and presenting cost containment opportunities to senior management. This is a fully remote position that requires strong leadership and analytical skills to drive financial improvements. **You might be a good fit if you...** - Have 6+ years of experience in data analysis, finance, or accounting. - Possess experience with government programs auditing and compliance monitoring. - Are skilled in managing internal and external vendors to achieve financial targets. - Can effectively analyze trends, recommend action plans, and present findings to senior leadership.

Job Description

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

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.

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