Remote Senior Manager, Payment Integrity & Cost Recovery

Centene Corporation; Lorida (FL); Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work arrangements (remote,hyb

Formal training and development

Job summary

Centene Corporation is seeking a skilled Cost Recovery and Cost Containment Analyst to oversee performance of internal and external initiatives across Health Plans, monitor metrics, and push for cost avoidance and savings. You will partner with national vendors and health plans to identify opportunities and drive action plans to completion.

Required are a bachelor’s degree in accounting, finance, healthcare management or related field, and 6+ years in data analysis, finance or accounting.

Qualifications

• 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 the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.
• 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
• Assist health plans in understanding the rules, regulations and processes around cost recovery
• Monitor other departments’ performance and processes and evaluate for cost recovery
• Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives
• Complies with all policies and standards

Skills

Data analysis

Cost recovery

Cost containment

Project management

Vendor management

Education

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

Job description

Centene Corporation is seeking a skilled Cost Recovery and Cost Containment Analyst to oversee performance of internal and external initiatives across Health Plans, monitor metrics, and push for cost avoidance and savings. You will partner with national vendors and health plans to identify opportunities and drive action plans to completion.

Required are a bachelor’s degree in accounting, finance, healthcare management or related field, and 6+ years in data analysis, finance or accounting.