Payment Integrity Specialist – Strategic Initiatives

🔥 1 minute ago

🐊 Florida, Illinois, +4 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote 🤠 Texas – Remote 🍑 Georgia – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Strategy

👻 Ghost score 0%

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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

• Lead business case development for proposed initiatives, including assessment of opportunities, risks and return on investment • Support strategic and business planning, initiative prioritization, and alignment with the strategic business plan • Transition approved business cases into initiatives with clear documentation and responsibilities • Lead large-scale, cross-functional initiatives focused on performance improvement, financial gains, customer satisfaction, and compliance • Provide strategic and policy guidance for assigned initiatives • Organize work teams, establish project plans, facilitate meetings, build consensus, document recommendations, and oversee implementation • Analyze data, workflows, policies, procedures, staffing organization, and skills • Use project management software including Excel, PowerPoint, Visio, and Microsoft Project • Lead staff responsible for operating-plan initiatives and support their development and completion • Assist project leaders with facilitation, analysis, process mapping, brainstorming, and project management issues • Write and deliver communications across all organizational levels • Provide related support to improve business performance • Perform other assigned duties

🎯 Requirements

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

🏖️ 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 • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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