Lead, Payment Integrity: Data Mining & Cost Recovery

Centene Corporation; Missouri; Hybrid; USD 108,000 - 199,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Corporation in Missouri seeks a seasoned cost containment and cost recovery specialist to oversee performance of initiatives across health plans and national vendors. You will monitor progress against forecasts, manage vendor relationships, and develop annual budgets to realize savings.

The role emphasizes analyzing trends, presenting reports to senior management, and driving process improvements while complying with policies. Flexible remote/hybrid/office options are available.

Qualifications

• Bachelor's degree in Accounting, Finance, Healthcare Management, related field or equivalent experience.
• 6+ years of data analysis, finance or accounting experience.
• Project management experience preferred.

Responsibilities

• Oversee and monitor the performance of internal and external cost recovery and cost containment initiatives.
• Partner with health plans and national vendors to identify and contain costs.
• Develop annual budgets and targets for national vendors to achieve savings.
• Evaluate and streamline processes to reduce costs.
• Present trends and cost containment opportunities and assist with implementation.
• Monitor performance and processes around cost recovery across departments.
• Compile and present reporting packages for Senior Management on cost avoidance and cost recovery.
• Perform other duties as assigned and comply with policies.

Skills

Data analysis

Finance

Accounting

Project management

Education

Bachelor's degree in Accounting, Finance, Healthcare Management, related field or equivalent experience

Job description

Centene Corporation in Missouri seeks a seasoned cost containment and cost recovery specialist to oversee performance of initiatives across health plans and national vendors. You will monitor progress against forecasts, manage vendor relationships, and develop annual budgets to realize savings.

The role emphasizes analyzing trends, presenting reports to senior management, and driving process improvements while complying with policies. Flexible remote/hybrid/office options are available.