Lead, Payment Integrity & Cost Containment

Centene Corporation; Clayton (MO); Hybrid; USD 108,000 - 199,000; Full time

Job summary

Centene Corporation is seeking a seasoned cost recovery and cost containment professional to oversee performance of internal and external initiatives with health plans and national vendors. You will develop budgets, monitor savings, and drive cost reduction across programs.

The role requires 6+ years of data analysis, finance or accounting experience and a background in regulatory compliance. Flexible schedules and a comprehensive benefits package are offered.

Qualifications

• 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.

Responsibilities

• 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.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Data analysis

Education

Bachelor's degree

Job description

Centene Corporation is seeking a seasoned cost recovery and cost containment professional to oversee performance of internal and external initiatives with health plans and national vendors. You will develop budgets, monitor savings, and drive cost reduction across programs.

The role requires 6+ years of data analysis, finance or accounting experience and a background in regulatory compliance. Flexible schedules and a comprehensive benefits package are offered.