Senior Manager, Payment Integrity & Cost Optimization Remote

Centene Corporation; Florida; Hybrid; USD 108,000 - 199,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible approach to work with remote,

hybrid, field or office work schedules

Job summary

Centene Corporation in Florida is seeking a Senior Cost Recovery/Finance professional to oversee the performance of internal and external cost recovery and cost containment initiatives across Health Plans. You’ll partner with national vendors to identify savings and develop budgets aligned with projected targets.

The role requires a Bachelor’s degree and 6+ years in data analysis, finance or accounting, with preference for government programs auditing and project management experience.

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 preferred.
• Project management experience preferred.

Responsibilities

• Oversee internal and external cost recovery and cost containment 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.
• Evaluate and streamline existing processes and implement new processes to reduce costs.
• 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.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Data analysis

Financial analysis

Cost containment

Education

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

6+ years data analysis/finance experience

Job description

Centene Corporation in Florida is seeking a Senior Cost Recovery/Finance professional to oversee the performance of internal and external cost recovery and cost containment initiatives across Health Plans. You’ll partner with national vendors to identify savings and develop budgets aligned with projected targets.

The role requires a Bachelor’s degree and 6+ years in data analysis, finance or accounting, with preference for government programs auditing and project management experience.