Payment Integrity Specialist – Governance

🔥 23 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Leads business case development for proposed initiatives • Supports the strategic planning process • Ensures that initiatives support the strategic business plan • Drives performance improvement, financial gains, customer satisfaction and improved compliance • Performs detailed analysis of data, workflows, policies and procedures • Organizes work teams and drives consensus to accomplish project work • Collaborates with all levels of staff responsible for initiatives • Writes and delivers communication for process improvement initiatives

🎯 Requirements

• Bachelor's Degree in a related field or equivalent experience required • Master's Degree in a related field preferred • 6+ years managing projects required • Experience in health care and/or insurance preferred • Certified Project Management Professional (PMP) Process quality certification 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