Senior Manager, Payment Integrity & Cost Optimization

Centene Corporation; Alton (IL); On-site; USD 108,000 - 199,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off + holidays

Flexible work arrangements

Job summary

Centene Corporation is seeking a skilled Cost Recovery Analyst to oversee internal and external initiatives to recover and contain costs across Health Plan programs. The role requires collaboration with national vendors and health plans to meet targeted savings and forecasted results.

The ideal candidate has a Bachelor’s degree in Accounting/Finance or related field and 6+ years in data analysis, finance, or accounting, with familiarity in government program auditing and compliance.

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 cost recovery and cost containment initiatives.
• Manage internal and external vendors’ cost avoidance and cost recovery.
• Partner with health plans to contain costs via national vendors for each recovery category.
• Develop annual budgets and targets for national vendors and assist them in achieving savings.
• Evaluate and streamline processes to reduce costs.
• Present trends and opportunities and assist with action plans.
• Assist health plans in understanding cost recovery rules and processes.
• Monitor other departments’ performance for cost recovery.
• Prepare and present reporting packages for Senior Management on current initiatives.
• Perform other duties as assigned.
• Complies with all policies and standards.

Skills

Data analysis

Education

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

Job description

Centene Corporation is seeking a skilled Cost Recovery Analyst to oversee internal and external initiatives to recover and contain costs across Health Plan programs. The role requires collaboration with national vendors and health plans to meet targeted savings and forecasted results.

The ideal candidate has a Bachelor’s degree in Accounting/Finance or related field and 6+ years in data analysis, finance, or accounting, with familiarity in government program auditing and compliance.