Payment Integrity & Process Optimization Lead (Remote)

Centene Corporation; Florida; Hybrid; USD 70,000 - 126,000; Full time

Job summary

Centene Corporation seeks a Business Process Consultant to lead large-scale, cross-functional initiatives across health care and insurance domains. You will drive performance improvements by aligning policy, process and technology, and by developing robust business cases.

You will guide teams, organize activities, and ensure end-to-end process integrity with strong data analysis and stakeholder engagement. Proficiency with Excel, PowerPoint, Visio, and MS Project is required.

Qualifications

• Bachelor's degree in a related field or equivalent experience required.
• Master's degree in a related field preferred.
• 5+ years health care, insurance or related experience required.
• Demonstrated experience and skill in training, presenting and facilitating required.

Responsibilities

• Leads large-scale, cross-functional initiatives for performance improvement and compliance.
• Assists business case development to assess opportunities, risks, ROI.
• Facilitates alignment of policy, process and technology for future needs.
• Organizes work teams, drives consensus, and manages project plans and delivery.
• Performs data analysis of workflows, policies, and staffing to design solutions.
• Provides policy guidance to ensure end-to-end process integrity.
• Uses project management tools (Excel, PowerPoint, Visio, MS Project) to support projects.

Skills

Cross-functional leadership

Data analysis

Facilitation

Policy guidance

Education

Bachelor's Degree in a related field

Master's Degree in a related field

Tools

Excel

PowerPoint

Visio

Microsoft Project

Job description

Centene Corporation seeks a Business Process Consultant to lead large-scale, cross-functional initiatives across health care and insurance domains. You will drive performance improvements by aligning policy, process and technology, and by developing robust business cases.

You will guide teams, organize activities, and ensure end-to-end process integrity with strong data analysis and stakeholder engagement. Proficiency with Excel, PowerPoint, Visio, and MS Project is required.