Senior Manager, Payment Integrity & Cost Containment

Centene Corporation; North Carolina; 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

Flexible work arrangements (remote/hyb

Job summary

Centene Corporation seeks a seasoned professional to oversee internal and external cost recovery and containment initiatives, driving savings across health plans and national vendors.

In this role you will develop budgets, monitor performance, present trends to Senior Management, and help implement cost-saving processes while ensuring compliance with regulations and internal policies. Flexible remote/hybrid/work arrangements available.

Qualifications

• Bachelor's degree in Accounting, Finance, Healthcare Management, or related field.
• 6+ years of data analysis, finance or accounting experience.
• Experience with government programs auditing and compliance monitoring preferred.
• Project management experience preferred.

Responsibilities

• Oversee and monitor internal and external cost recovery and cost containment initiatives.
• Partner with health plans to identify and contain costs with national vendors for each recovery category.
• Develop annual budget and target for national vendors and assist achieving projected savings.
• Evaluate and streamline existing processes and implement new processes to reduce costs.
• Present trends and cost containment opportunities, recommend action plans, and assist with implementation.
• Assist health plans in understanding 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.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Data analysis

Finance

Budgeting

Project management

Education

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

Equivalent experience

Job description

Centene Corporation seeks a seasoned professional to oversee internal and external cost recovery and containment initiatives, driving savings across health plans and national vendors.

In this role you will develop budgets, monitor performance, present trends to Senior Management, and help implement cost-saving processes while ensuring compliance with regulations and internal policies. Flexible remote/hybrid/work arrangements available.