Remote Senior Manager, Payment Integrity & Cost Containment

Centene Corporation; Tallahassee (FL); Hybrid; USD 85,000 - 120,000; 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 is seeking a senior professional to oversee cost recovery and containment initiatives across internal and external programs. The role partners with health plans and national vendors to identify savings, develop annual budgets, and monitor performance against targets.

The position requires 6+ years in data analysis, finance or accounting, with preference for government auditing/compliance experience and project management.

Qualifications

• 6+ years of data analysis, finance or accounting experience.
• Experience with government programs auditing and compliance monitoring preferred.
• Project management experience preferred.

Responsibilities

• Oversee performance of internal and external cost recovery and cost containment initiatives.
• Manage cost avoidance and cost recovery initiatives with vendors.
• Partner with health plans to identify and contain cost through national vendors.
• Develop annual budget and projected targets for national vendors.
• Present trends and cost containment opportunities and assist with action plans.
• Assist health plans in understanding cost recovery rules, regulations and processes.
• Monitor other departments' performance and processes for cost recovery.
• Compile and present reporting packages for Senior Management on cost avoidance and recovery initiatives.
• Comply with all policies and standards.

Skills

Data analysis

Finance

Auditing

Compliance monitoring

Project management

Education

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

Job description

Centene Corporation is seeking a senior professional to oversee cost recovery and containment initiatives across internal and external programs. The role partners with health plans and national vendors to identify savings, develop annual budgets, and monitor performance against targets.

The position requires 6+ years in data analysis, finance or accounting, with preference for government auditing/compliance experience and project management.