Senior Manager, Payment Integrity - Implementation Delivery

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose:
Oversee and optimize the delivery of a portfolio of Payment Integrity initiatives by providing strategic direction, governance, and execution leadership. This role is accountable for sub portfolio performance, delivery standards, process improvement outcomes, and alignment to enterprise Payment Integrity objectives across health plans.

• Provide oversight and strategic direction for Payment Integrity implementation sub portfolios
• Establish delivery standards, governance structures, and performance metrics across implementation teams
• Lead prioritization, intake, and sequencing of initiatives to align with organizational goals and capacity
• Partner with executive leadership, health plans, and vendors to resolve complex delivery challenges
• Identify and drive process improvements that increase efficiency, scalability, and implementation quality
• Monitor portfolio health including risks, dependencies, timelines, and outcomes
• Ensure consistent reporting, executive level summaries, and issue escalation across sub portfolios
• Mentor and develop managers and team members in delivery leadership and process discipline
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience:

• Bachelor’s degree in Business, Healthcare Management, Finance, or related field, or four (4) years of equivalent experience required.
• 6+ years of progressive experience in project delivery, portfolio management, healthcare operations, or process transformation required.
• 3+ years of people leader experience, including direct management of teams required.
• Experience leading large scale or multi plan implementations preferred.
• Demonstrated success in portfolio or program management, including governance and executive reporting required.
• Experience guiding teams through process change, operational readiness, and performance optimization required.

Certified Project Management Professional (PMP)-PMI preferred

Pay Range: $107,700.00 - $199,300.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act