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Senior Manager, Payment Integrity – Vended Audit Programs
Centene Corporation. Oversee and monitor internal and external cost recovery and cost containment initiatives against project metrics and recovery/cost avoidance goals .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in cost recovery and cost containment initiatives, with a strong focus on data analysis, budgeting, and compliance within healthcare finance. Proven ability to partner with vendors and health plans to achieve financial targets and streamline processes.
Highest-signal resume keywords
Cost Recovery ManagementData AnalysisBudget DevelopmentCompliance MonitoringProject Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisCost ContainmentBudgetingFinancial ReportingProcess ImprovementCost Avoidance StrategiesAuditingHealthcare ManagementVendor ManagementRegulatory Compliance
Soft Skills
CommunicationPresentation SkillsCollaborationProblem-SolvingLeadership
Industry Keywords
Healthcare FinanceGovernment ProgramsCost RecoveryCompliance ProgramsPerformance Monitoring
About the role
Key responsibilities & impact- Oversee and monitor internal and external cost recovery and cost containment initiatives against project metrics and recovery/cost avoidance goals
- Manage internal and external vendors’ cost avoidance and cost recovery initiatives
- Partner with health plans to identify and contain costs through national vendors
- Develop annual budgets and projected targets for national vendors and assist with achieving annual savings
- Evaluate and streamline existing processes and implement new cost-reduction processes
- Present trends and cost-containment opportunities, recommend action plans, and assist with implementation
- Assist health plans with rules, regulations, and processes around cost recovery
- Monitor other departments’ performance and processes for cost-recovery opportunities
- Compile and present reporting packages for Senior Management
- Perform other duties as assigned
Requirements
What you’ll need- 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 preferred
- Experience with compliance monitoring programs preferred
- Project management experience preferred
- Ability to 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
- equal opportunity employer committed to diversity