Jobs Companies Centene Senior Manager, Payment Integrity - Data Mining Programs

À propos de ce poste Senior Manager, Payment Integrity - Data Mining Programs chez Centene

Centene · Télétravail · Remote-MO

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose:
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
  • 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

Education/Experience:
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 programs preferred. Project management experience preferred.

 

Pay Range: $107,700.00 - $199,300.00 per year

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 individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Prêt à postuler chez Centene ?
Postuler chez Centene

À propos de Centene

Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email [email protected] .

Voir tous les emplois chez Centene →

Emplois similaires

Centene
Supervisor, Recovery
Centene
⚡ Postuler tôt Remote-MI · lieu restreint $56,200–$101,000
● Nouveau 👁 Vu ✓ Postulé il y a 1 j
Centene
Health Benefit Rep
Centene
⚡ Postuler tôt Latham - 25 British American B... Sur site $48,318–$82,389
● Nouveau 👁 Vu ✓ Postulé il y a 2 j
Centene
Vice President, Member Enrollment & Billing
Centene
⚡ Postuler tôt Remote-MO · lieu restreint $207,000–$392,100
● Nouveau 👁 Vu ✓ Postulé il y a 2 j
Centene
VBC Performance Manager
Centene
⚡ Postuler tôt Remote-MO · lieu restreint $70,100–$126,200
● Nouveau 👁 Vu ✓ Postulé il y a 2 j
Centene
RN Supervisor, Appeals, Managed Care, UM
Centene
⚡ Postuler tôt Remote-CA · lieu restreint $75,300–$135,400
● Nouveau 👁 Vu ✓ Postulé il y a 2 j
Centene
HR Program Manager III
Centene
⚡ Postuler tôt Clayton - 7700 Forsyth Blvd (C... Sur site
● Nouveau 👁 Vu ✓ Postulé il y a 2 j
Centene
Manager, Operations
Centene
⚡ Postuler tôt Remote-MO · lieu restreint $87,700–$157,800
● Nouveau 👁 Vu ✓ Postulé il y a 2 j
Centene
Director, Duals Strategy & Policy
Centene
⚡ Postuler tôt Remote-FL · lieu restreint $148,000–$274,200
● Nouveau 👁 Vu ✓ Postulé il y a 2 j
Centene
Trainer I
Centene
⚡ Postuler tôt Remote-MO · lieu restreint $56,200–$101,000
● Nouveau 👁 Vu ✓ Postulé il y a 2 j

Inscrivez-vous pour des suggestions adaptées aux emplois que vous ouvrez et aux recherches que vous enregistrez.

Plus d’emplois chez Centene

Voir tous les emplois chez Centene →

Postuler maintenant
🤖

Doucement — un instant

JobsRadar a été conçu pour de vraies personnes qui traversent une période difficile dans leur recherche d’emploi — pas pour des requêtes automatisées. Vous cliquez beaucoup trop vite et vous êtes maintenant temporairement bloqué.

Revenez plus tard. Si vous cherchez réellement un emploi, nous sommes de votre côté — agissez simplement comme un être humain.

Catch your next role the second it’s posted.

Create a free account and we’ll watch the boards for you — the instant a job matches your search, it lands in your inbox or Telegram. No digging, no refreshing.

Create free account

Free forever · takes 30 seconds · already have one?

Prenez une longueur d’avance dans votre recherche d’emploi.

Rejoignez notre canal Telegram pour ce qui vous aide à décrocher le poste — références salariales, le pouls hebdomadaire du marché et les annonces de nouveautés. Pas de spam, que du signal.

Rejoindre le canal — c’est gratuit