Senior Payment Integrity & Process Lead - Remote

Centene; United States; Hybrid; USD 88,000 - 158,000; 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 schedules (remote,Hybrid

Job summary

Centene is seeking a Senior Business Process Consultant to lead business case development for proposed initiatives, support the strategic planning process, and drive large-scale, cross-functional programs. You will guide opportunity assessments, align initiatives with the strategic plan, ensure proper transition of approved cases into initiatives, and provide policy guidance to maximize impact.

The role requires strong project leadership, data analysis, and experience in healthcare or insurance.

Qualifications

• Bachelor's Degree in a related field or equivalent experience.
• Master's Degree in a related field preferred.
• 6+ years managing projects required.
• Experience in health care and/or insurance preferred.

Responsibilities

• Lead business case development for initiatives to assess opportunities, risks and ROI.
• Support planning and prioritization within strategic and business planning processes.
• Ensure initiatives align with the strategic business plan and are executed effectively.
• Transition approved business cases to initiatives with clear ownership.
• Lead cross-functional initiatives to drive performance, financial gains, customer satisfaction and compliance.
• Provide strategic guidance to maximize implementation impact and results.
• Organize teams, drive consensus, develop project plans and oversee implementation.
• Perform detailed analysis of data, workflows, and staffing to drive initiatives.
• Utilize project management tools (Excel, PowerPoint, Visio, MS Project).
• Support other project leaders in facilitation, mapping and analysis.
• Communicate across all levels to ensure awareness and effectiveness of process improvements.

Skills

Project management

Stakeholder management

Business case development

Data analysis

Education

Bachelor's Degree

Master's Degree preferred

Job description

Centene is seeking a Senior Business Process Consultant to lead business case development for proposed initiatives, support the strategic planning process, and drive large-scale, cross-functional programs. You will guide opportunity assessments, align initiatives with the strategic plan, ensure proper transition of approved cases into initiatives, and provide policy guidance to maximize impact.

The role requires strong project leadership, data analysis, and experience in healthcare or insurance.