Centene Corporation
Transforming the health of the communities we serve, one person at a time.
Senior Manager, Payment Integrity – Recovery Operations
Location
Missouri
Posted
10 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