Sr. Manager Payment Integrity - Health Plan Concierge at Centene

You're a seasoned leader with at least six years in payment integrity or claims operations, including four years managing teams, and a Bachelor's degree in a re

Work type: remote

Location: Remote-MO | Remote-TX

Salary: $107,700 – $199,300/yr

Type: Full-time

You're a seasoned leader with at least six years in payment integrity or claims operations, including four years managing teams, and a Bachelor's degree in a related field. You have a strong understanding of healthcare payment integrity concepts and possess experience with Medicare and/or Medicaid managed care. Centene is looking for a Sr. Manager Payment Integrity - Health Plan Concierge to provide strategic leadership for their 28 million members. This fully remote role offers a competitive annual salary range of $107,700.00 to $199,300.00 and a comprehensive benefits package. You might be a good fit if you... * Have 3+ years of experience with PI functions like pre-pay edits, post-pay audits, or analytics. * Can lead provider-facing work, including communications and external stakeholder engagement. * Have experience managing escalated issues with senior leaders and collaborating across various departments. * Possess a strong understanding of payment integrity concepts, reimbursement methodologies, and regulatory requirements.

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