Program Manager III – Recovery Operations, Payment Integrity

Centene Corporation

. Lead recoupment claim inventory management and BOT automation monitoring .

Posted 10/22/2026full-timeRemote • United StatesMid-LevelSenior💰 $87,700 - $157,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in project management, particularly in healthcare recovery operations and payment integrity, while effectively collaborating with cross-functional teams to enhance efficiency and ensure compliance.

Highest-signal resume keywords

Project ManagementPayment IntegrityHealthcare Recovery OperationsClaims OperationsRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Project ImplementationRequirements GatheringResource ManagementBudget ManagementRisk MitigationBOT Automation MonitoringInventory ManagementProcess ImprovementData AnalysisStakeholder Negotiation

Soft Skills

CollaborationCommunicationLeadershipProblem-SolvingNegotiation

Tools & Technologies

AmisysFacetsXcelysABS Recovery ProcessesProject Management Tools

Industry Keywords

Managed CarePrescription Benefit ManagementRevenue CycleHealthcare AdministrationBusiness Administration

About the role

Key responsibilities & impact

Lead recoupment claim inventory management and BOT automation monitoring
Ensure Payment Integrity Amisys, Facets, Xcelys, and ABS recovery processes operate as expected
Resolve inventory and BOT automation issues in a timely manner
Review savings BOT automation issues to identify and address potential concerns
Collaborate with recoupment program SMEs, IT, and Claims teams
Identify opportunities to increase efficiency, improve service levels, and ensure regulatory compliance
Develop strategies to realize improvement opportunities and align organizational priorities and resources
Manage multiple projects through the full project life cycle, including requirements gathering, project plans and schedules, resource and budget management, execution, deployment, and closure
Use corporate and industry-standard project management tools and techniques
Maintain project documentation, action items, issue lists, and risk mitigation plans
Lead and communicate project status to stakeholders through executive summaries and presentations
Negotiate with stakeholders to secure resources, resolve issues, and mitigate risks
Lead cross-functional meetings
Provide functional and technical knowledge regarding program requirements and operations

Requirements

What you’ll need

Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience
5+ years project implementation, product or program management experience
Managed care or prescription benefit management experience preferred
Preferred experience driving initiatives within healthcare recovery operations, payment integrity, claims operations, revenue cycle, or related healthcare business functions
Master’s degree preferred

Benefits

Comp & perks

Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Competitive pay
Potential additional forms of incentives