Senior Manager, Payment Integrity- Provider Experience & Enablement at Centene

**Who this is for** This role is designed for a seasoned healthcare operations leader with at least 6 years of experience in Payment Integrity, Claims, or Provider Network management. The ideal candidate has a strong background in navigating the complex relationship between payers and providers, specifically handling high-level escalations and fraud/waste/abuse (FWA) investigations. You should be a strategic communicator who can translate technical audit data into clear education for provider communities. **Key highlights** This is a fully remote position offering a competitive salary range of $107,700–$199,300, plus comprehensive benefits including a stock purchase plan and tuition reimbursement. It offers significant visibility, as you will lead a "Health Plan Concierge" function that bridges the gap between financial recovery goals and the provider experience, influencing enterprise-level strategy. **You might be a good fit if you...** * Have 4+ years of leadership experience managing direct reports and cross-functional workstreams. * Thrive in "triage" environments, resolving complex disputes that fall outside traditional channels. * Can leverage data trends to create provider-facing training and educational materials. * Understand the nuances of healthcare contracting and how Payment Integrity programs impact those agreements.