Senior Manager, Payment Integrity

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.

We will be looking for the following area's within Payment Integrity to be supported:

1. Content Coordination & Quality Oversight

2. Data Mining Programs

+ 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...