Senior Manager, Payment Integrity & Cost Recovery (Remote)

Centene Corporation; North Carolina; Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

tuition reimbursement

paid time off plus holidays

a flexible approach to work withremote

Job summary

Centene Corporation is seeking a cost recovery and cost containment professional to oversee initiatives across health plans. You will monitor performance against targets, work with national vendors, and translate data into actionable savings.

The role requires a Bachelor's degree in Accounting, Finance, or related field and 6+ years in data analysis, finance, or accounting. Experience with government audit programs and project management is preferred.

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 cost recovery and cost containment initiatives against metrics and forecasts.
• Manage internal and external vendors cost avoidance and cost recovery initiatives.
• Partner with health plans to contain costs with national vendors for each recovery category.
• Develop annual budgets and targets for national vendors and assist achieving projected savings.
• Present trends and cost containment opportunities and assist with action plans.
• Assist health plans in understanding rules, regulations around cost recovery.
• Monitor other departments' performance and evaluate for cost recovery.
• Compile and present reporting packages for Senior Management on cost initiatives.
• Complies with all policies and standards.

Skills

Data analysis

Finance

Accounting

Project management

Regulatory compliance

Cost containment

Education

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

Job description

Centene Corporation is seeking a cost recovery and cost containment professional to oversee initiatives across health plans. You will monitor performance against targets, work with national vendors, and translate data into actionable savings.

The role requires a Bachelor's degree in Accounting, Finance, or related field and 6+ years in data analysis, finance, or accounting. Experience with government audit programs and project management is preferred.