Senior Manager, IP Validation

Job not on LinkedIn

🔥 12 hours ago

🗽 New York, Missouri – Remote

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💵 $107.7k - $199.3k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

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Logo of Centene Corporation

Centene Corporation

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

• Prepare and maintain monthly estimates of inpatient incurred but not reported (IP IBNR) expenses • Collaborate with the Utilization Management team to review inpatient authorization data and establish a recurring validation process • Develop and maintain standardized review processes and reporting for inpatient spend • Analyze key drivers contributing to budget and forecast variances • Oversee preparation of accurate and timely financial reports for IP spend • Oversee financial and business analyses based on information from various sources and financial reports • Interpret financial reports for management team • Review and evaluate analyses and recommend appropriate actions to senior management • Prepare budgets and forecasts and analyze financial results related to IP claims and authorization • Monitor legislative and political developments affecting the business unit from a financial perspective

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor's degree in Accounting, Finance, or equivalent experience • 5+ years of accounting, financial analysis or finance related experience • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff • Experience in public accounting, operations, financial analysis preferred • Experience in healthcare insurance strongly preferred • CPA preferred

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • 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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