Senior Manager, Payment Integrity - Vended Audit Programs

Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.
Manage internal and external vendors cost avoidance and cost recovery 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
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
Complies with all policies and standards
Bachelors 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 programs preferred. Project management experience preferred.
Youll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. Its work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individuals skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.