Senior Manager, Payment Integrity - Vended Audit Programs

The role involves overseeing and monitoring cost recovery and cost containment initiatives for a healthcare organization, managing vendors, developing budgets, streamlining processes, and reporting to senior management.

Location: Remote

Salary: $107,700.00 - $199,300.00 per year

Responsibilities

• Manage internal and external vendors cost avoidance and cost recovery initiatives.
• Partner with health plans to identify and contain costs through collaboration with vendors.
• Develop annual budgets and projected targets for vendors and assist in achieving savings.
• Evaluate and streamline existing processes and implement new cost-reduction processes.
• Present trends and opportunities for cost containment, recommend and assist with action plan implementation.
• Assist health plans in understanding rules, regulations, and processes around cost recovery.
• Monitor other departments’ performance and processes for cost recovery.
• Compile and present reports for senior management on cost avoidance and recovery initiatives.

Requirements

• Bachelor’s degree in Accounting, Finance, Healthcare Management, or related field or equivalent experience.
• 6+ years of data analysis, finance, or accounting experience.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible work arrangements including remote, hybrid, field, or office schedules.

Additional Information

• Experience with government programs auditing and compliance monitoring preferred.
• Project management experience preferred.
• Pay range: $107,700 - $199,300 per year.
• Benefits subject to eligibility and may include additional incentives.
• Centene is an equal opportunity employer and values diversity.
• Consideration for applicants with arrest or conviction records in accordance with applicable laws.