Remote Senior Manager, Payment Integrity & Cost Control

Centene Corporation; Illinois; 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 plus holidays

Remote/hybrid/field or office work

Job summary

Centene Corporation is seeking a seasoned professional to oversee performance of cost recovery and containment initiatives across health plans. You will manage internal and external vendors, collaborate with plans to identify savings, and develop budgets to meet targets.

The role involves presenting trends, recommending action plans, and guiding implementation of cost-saving strategies. Flexible work options and comprehensive benefits 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

• Oversee and monitor internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals.
• 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.
• Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans.

Skills

Data analysis

Finance

Accounting

Project management

Education

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

Job description

Centene Corporation is seeking a seasoned professional to oversee performance of cost recovery and containment initiatives across health plans. You will manage internal and external vendors, collaborate with plans to identify savings, and develop budgets to meet targets.

The role involves presenting trends, recommending action plans, and guiding implementation of cost-saving strategies. Flexible work options and comprehensive benefits are offered.