Payment Integrity Consultant

Centene Corporation

. Lead large-scale, cross-functional initiatives .

Posted 10/9/2026full-timeRemote • United StatesMid-LevelSenior💰 $70,100 - $126,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in leading cross-functional initiatives and optimizing business unit performance through effective policy, process, and technology alignment. Proficient in data analysis, project management, and communication across organizational levels.

Highest-signal resume keywords

Cross-Functional Initiative LeadershipBusiness Case DevelopmentData AnalysisProject ManagementTraining and Facilitation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisProcess MappingPerformance ImprovementFinancial GainsCompliance Optimization

Soft Skills

CommunicationConsensus BuildingTeam OrganizationFacilitation

Tools & Technologies

ExcelPowerPointVisioMicrosoft Project

Certifications & Qualifications

Bachelor's DegreeMaster's Degree (Preferred)

Industry Keywords

Health CareInsuranceIT SolutionsPolicy Guidance

About the role

Key responsibilities & impact

Lead large-scale, cross-functional initiatives
Assist with business case development, including assessment of opportunities, risks, and return on investment
Optimize business unit performance by aligning policy, process, and technology and designing/implementing future business needs
Drive performance improvement, financial gains, customer satisfaction, and improved compliance
Provide policy guidance and ensure end-to-end process consideration
Organize work teams, establish project plans, facilitate meetings, build consensus, document recommendations, and oversee implementation
Analyze data, workflows, policies, procedures, staff organization, and skills to develop solutions
Support project work using Excel, PowerPoint, Visio, and Microsoft Project
Lead staff responsible for operating-plan initiatives and support their development and completion
Assist other project leaders with facilitation, analysis, process mapping, brainstorming, and project management
Write and deliver communications across all organizational levels
Provide related support and perform other assigned duties

Requirements

What you’ll need

Bachelor's Degree in a related field or equivalent experience required
5+ years health care, insurance or related experience required
Demonstrated experience and skill in training, presenting and facilitating required
Master's Degree in a related field preferred
Proficiency with Excel, PowerPoint, Visio, and Microsoft Project
Knowledge and experience leveraging IT solutions
Must comply with all policies and standards

Benefits

Comp & perks

Competitive pay
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation