Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Senior Manager, Payment Integrity – Recovery Operations

Full TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Missouri

Posted

8 hours ago

Salary

$107.7K - $199.3K / year

Bachelor Degree6 yrs expExperience acceptedEnglish

Job Description

• Provide oversight of post Claims Recovery Platform recovery execution • Ensure recoveries are fully realized through disciplined reconciliation, exception resolution, and recovery system oversight • Maintain tight operational monitoring to prevent dropped, delayed, or lost recovery dollars • Ensure recovery outcomes are accurate, complete, and audit ready • Own end-to-end post recovery execution • Maintain visibility and control over recovery inventory • Perform financial reconciliation to confirm recoveries are fully realized • Identify and investigate recovery drops, failures, and anomalies • Lead resolution of recovery exceptions • Serve as the business subject matter expert for recovery systems • Monitor recovery execution closely to ensure compliance, accuracy, and audit readiness • Perform other duties as assigned

Job Requirements

  • Bachelor’s degree in Healthcare Administration, Business, Public Health, Health Information Management, or related field or equivalent work experience, required
  • Master’s degree preferred
  • 4+ years of leadership experience with direct reports
  • 6+ years of experience in data analysis, finance, accounting, or payment integrity recovery operations
  • Experience supporting government programs, auditing and compliance monitoring preferred
  • Payer claims systems experience required
  • Project management experience preferred

Benefits

  • 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

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