Payment Integrity Specialist – Strategic Initiatives

Centene Corporation

. Lead business case development for proposed initiatives, including assessment of opportunities, risks and return on investment .

Posted 11/6/2026full-timeRemote • United StatesMid-LevelSenior💰 $87,700 - $157,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading cross-functional initiatives focused on performance improvement and compliance, with a strong emphasis on project management and strategic planning. Proficient in analyzing data and workflows to enhance business performance and ensure alignment with organizational goals.

Highest-signal resume keywords

Project Management Professional (PMP)Cross-Functional Initiative LeadershipBusiness Case DevelopmentData Analysis and Process MappingStrategic Planning and Policy Guidance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Project ManagementData AnalysisProcess MappingBusiness Case DevelopmentPerformance ImprovementRisk AssessmentReturn on Investment AnalysisInitiative PrioritizationDocumentationCompliance Management

Soft Skills

Team LeadershipConsensus BuildingCommunicationFacilitationOrganizational Skills

Tools & Technologies

Microsoft ProjectExcelPowerPointVisio

Certifications & Qualifications

Project Management Professional (PMP)Process Quality Certification

Industry Keywords

Health CareInsuranceStrategic Business PlanningOperational PlanningPolicy Compliance

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Lead business case development for proposed initiatives, including assessment of opportunities, risks and return on investment
Support strategic and business planning, initiative prioritization, and alignment with the strategic business plan
Transition approved business cases into initiatives with clear documentation and responsibilities
Lead large-scale, cross-functional initiatives focused on performance improvement, financial gains, customer satisfaction, and compliance
Provide strategic and policy guidance for assigned initiatives
Organize work teams, establish project plans, facilitate meetings, build consensus, document recommendations, and oversee implementation
Analyze data, workflows, policies, procedures, staffing organization, and skills
Use project management software including Excel, PowerPoint, Visio, and Microsoft Project
Lead staff responsible for operating-plan initiatives and support their development and completion
Assist project leaders with facilitation, analysis, process mapping, brainstorming, and project management issues
Write and deliver communications across all organizational levels
Provide related support to improve business performance
Perform other assigned duties

Requirements

What you’ll need

Bachelor's Degree in a related field or equivalent experience required
6+ years managing projects required
Certified Project Management Professional (PMP)-PMI required
Master's Degree in a related field preferred
Experience in health care and/or insurance preferred
Process quality certification preferred
Must comply with all policies and standards

Benefits

Comp & perks

Competitive pay
Health insurance
401K and 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
Equal opportunity employer committed to diversity