Remote Payment Integrity & Process Optimization Lead

Centene Corp.; United States; Remote; USD 70,000 - 126,000; Full time

Job summary

Centene Corp. is seeking a Payment Integrity Specialist to lead large-scale, cross-functional initiatives focused on improving performance, financial gains, and compliance across remote teams in multiple states.

You will craft business cases, analyze data and optimize policy, process and technology alignment to meet future needs. The role requires 5+ years of healthcare, insurance or related experience, a Bachelor's degree in a related field, and strong skills in training, presenting,

Qualifications

• Bachelor's degree in a related field required.
• Master's degree preferred.
• 5+ years in health care, insurance or related field.

Responsibilities

• Lead large-scale cross-functional initiatives to improve performance and compliance.
• Assist with business case development, ROI, risks and opportunities.
• Facilitate teams, document plans, and drive end-to-end process integrity.
• Provide policy guidance and communicate initiatives to the organization.

Skills

Training

Presenting

Facilitating

Project management

Education

Bachelor's Degree in related field

Master's Degree in related field (preferred)

Tools

Excel

PowerPoint

Visio

Microsoft Project

Job description

Centene Corp. is seeking a Payment Integrity Specialist to lead large-scale, cross-functional initiatives focused on improving performance, financial gains, and compliance across remote teams in multiple states.

You will craft business cases, analyze data and optimize policy, process and technology alignment to meet future needs. The role requires 5+ years of healthcare, insurance or related experience, a Bachelor's degree in a related field, and strong skills in training, presenting,