Job Closed

This listing is no longer active.

Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Senior Manager, Payment Integrity – Vended Audit Programs

ManagerManagerFull TimeRemoteSeniorTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

California + 3 moreAll locations: California | Florida | Missouri | Texas

Posted

46 days ago

Salary

$107.7K - $199.3K / year

Seniority

Senior

Bachelor Degree6 yrs expEnglish

Job Description

Senior Manager, Payment Integrity – Vended Audit Programs

Centene Corporation

• Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan • Manage internal and external vendors cost avoidance and cost recovery initiatives • Partner with health plans to identify and contain cost through collaboration with national vendors for each recovery category • Develop annual budget and projected target for each national vendor and assist them with achieving projected annual savings • Evaluate and streamline existing processes and implement new processes to reduce costs • Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans • Assist health plans in understanding the rules, regulations and processes around cost recovery • Monitor other departments’ performance and processes and evaluate for cost recovery • Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives

Job Requirements

  • Bachelor’s degree in Accounting, Finance, Healthcare Management, related field or equivalent experience
  • 6+ years of data analysis, finance or accounting experience
  • Experience with government programs auditing, and compliance monitoring programs preferred
  • 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

Related Categories

Related Job Pages

More Manager Jobs

Full TimeRemoteTeam 51-200Since 1979H1B No Sponsor

• Implementation of Diocesan Partnerships • Serve as the primary relationship manager for partner diocese • Provide ongoing support for identified diocesan staffers • Develop strategies for long-term diocesan engagement • Innovate diocesan Alpha plans to integrate Alpha into diocesan structures and pathways • Help create pathways for various Catholic ministries • Promote and facilitate digital parish envision events and webinars • Ensure contextualization for Alpha’s trainings for Catholic settings • Coordinate Catholic-specific Alpha in-person events • Maintain calendar and consistent communication with Catholic ministry leaders • Create ongoing communication & practical support for Diocesan partner leaders • Identify, gather, and share compelling Catholic Alpha stories • Contribute to the strategic vision of Alpha Catholic

United States
$60K - $75K / year
The Hanover Insurance Group logo

Commercial Surety - Manager, Underwriting Specialty (Remote)

The Hanover Insurance Group

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture.

Manager46 days ago
Full TimeRemoteTeam 5,001-10,000

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture. The Hanover’s Commercial Surety business unit is seeking an experienced Surety - Commercial Surety - Manager, UW Specialty who brings strong technical expertise, a sales-minded approach, and a collaborative spirit. This role is ideal for a relationship-driven professional who enjoys developing agency partnerships, identifying growth opportunities, and delivering tailored surety solutions that drive profitable results and is focused on Small Commercial Accounts and Transactional Surety The Manager, UW Specialty, oversees an assigned book of business, with a primary focus on key agency relationships and accounts of increased complexity. This role is responsible for evaluating current and future staffing needs and providing the leadership, coaching, and development necessary to build and sustain a high‑performing team that supports business objectives across the West region. The Manager partners closely with agents and brokers to strengthen market presence and cultivate trusted, long‑term relationships. Success in this role depends on strong collaboration with leadership teams to consistently deliver high‑quality outcomes and exceptional service to our customers. The way we work continues to evolve. This role offers flexible work arrangements and may be hybrid or fully remote, with the ability to travel as needed to support agency engagement, market development, and key meetings throughout the West region. The position may be based in CA, OR, WA, AZ, UT,ID or CO. At The Hanover, our culture is grounded in our Care Values—we care about our people, our customers, and the communities we serve. We foster an inclusive, supportive environment where experienced professionals are empowered to make decisions, share ideas, and grow their careers while working together toward shared goals. The Hanover is a diverse and inclusive organization committed to attracting, developing, and retaining top talent. We believe diverse perspectives and experiences strengthen our teams, our performance, and the relationships we build every day. Position Overview: This role resides within Commercial Surety areas of the Specialty division. Underwrites, manages, and coaches team of Underwriters within defined territory, with support and guidance from regional management. Provides oversight on day-to-day underwriting functions. Collaborates with underwriting assistants, manages assigned book of business, primarily with key agents and increased level of complexity. Responsible for assessing the present and future resource needs for employees and provide the leadership, mentoring and guidance necessary to build and sustain a high performing workforce. This is a full-time, exempt role.  IN THIS ROLE YOU WILL: Technical Underwriting: - Knows and applies advanced underwriting concepts including risk selection, exposure and hazard identification and control, coverage implications, and loss analysis. - Understands pricing components and rating methodology and correlates pricing to exposure, financial and competitive analysis. - Adheres to UW guidelines and underwriting discipline to minimize exposure and appropriately price. - Effectively identifies root cause and brings forth solutions to problems. - Participates in referrals and consultations from UAs and UWs within assigned territory Portfolio & Sales Management: - Reviews key metrics and uncovers trends that may lead to new business opportunities with agents while achieving profitable growth in accordance with business strategies. - Understands the relationship between changes in business strategies and financial results (e.g., loss ratio’s, premium, retention, and non-rate and book mix strategies). - Keeps current on state/territory issues, regulations, and trends. - Coaching and mentoring the territory UW team, providing business direction, driving UW actions towards our business objectives, training, and development of employees. - Underwriting management, development, and execution of specific territorial business plan strategies, including territorial business cultivation and agency management. - Manage agency related functions for personal book of business. - Involvement in key new business and renewals. - Stays current with and ensures team adheres to underwriting best practices and guidelines. - Oversee the operational and technical work of the team and where applicable implement claim handling best practices. Leadership & Coaching: - Managing underwriters, coaching, and mentoring, providing business direction, driving UW actions towards our business objectives, training, and development of employees. - In partnership with the Director or AVP provides ongoing team leadership including Underwriting, performance coaching, development, and engagement, talent hiring, selection and progressive performance management if needed. - Conducts formal/informal training sessions on Small Commercial Surety accounts and Transactional surety or emerging issues in order to help elevate the level of underwriting expertise in the team. - Drives underwriting quality through the self-review process. - Collaborates with Operations to execute best practices, including optimizing productivity and managing service and quality with agents. - Identifies and develops talent pipeline. - Demonstrates a willingness to consistently enhance team performance. WHAT YOU NEED TO APPLY: - Bachelor’s degree preferred, or an equivalent combination of relevant education and surety experience. Professional designations are strongly preferred - Minimum of 7+ years of experience underwriting a broad range of commercial surety bonds and building agency relationships resulting in profitable new and renewal business. - Acts as a change advocate and is open to new and different ways of thinking. - Effective problem solver, who anticipates issues, seeks out and analyzes information collaboratively to propose solutions. Takes ownership for a successful resolution - High degree of business, commercial surety, and marketplace knowledge - Excellent communication skills are essential; effective face-to-face interactions and presentations to groups, as well as strong phone skills, along with sound written communications, including impeccable follow through - Ability to effectively coach and develop others - Demonstrated ability to effectively collaborate and influence across multiple levels of the organization within senior and field management and underwriters. - Analytical Thinking - Influencing Others - Results Orientation - Agile and Adaptive - Talent Management CAREER DEVELOPMENT: It’s not just a job, it’s a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you – at every level – to grow and develop. BENEFITS: We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you’ll enjoy what you do and have the support you need to succeed. Benefits include: - Medical, dental, vision, life, and disability insurance - 401K with a company match - Tuition reimbursement - PTO - Company paid holidays - Flexible work arrangements - Cultural Awareness Day in support of IDE - On-site medical/wellness center (Worcester only) - Click here for the full list of Benefits EEO statement: The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law. Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law.” As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at:HRServices@hanover.com and include the link of the job posting in which you are interested. Privacy Policy: To view our privacy policy and online privacy statement, click here. Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here. Compensation: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.

United States
$124K - $155K / year
Crestron logo

Vertical Market Manager - (Bay Area Commercial AV)

Crestron

Crestron is an electronics manufacturer specializing in the automated control of advanced media systems. It was founded in 1971 by George Feldstein, an entrepreneur, and engineer.

Manager46 days ago
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor

At Crestron Electronics, Inc we build the technology that integrates technology. We are proud to be the largest and most recognized brand in automation and control solutions, and the premier technology partner for fortune 500 businesses globally. Our products’ are integrated into new high-tech commercial buildings’ to include some of the most exciting real estate throughout the world. Our clients include Google, Microsoft, Amazon, LinkedIn and many others. We are the leaders in the most exciting industry in the world! Our automation and control solutions for homes and buildings allow our clients to control entire environments with the push of a button, integrating systems such as Audio Visual, Lighting, Shading, Security, Building Management Systems and HVAC to provide greater comfort, convenience and security. Vertical Market Manager Overview: Crestron has an opening for a Vertical Market Manager to join our Sales team in the Northwest focused primarily on the San Francisco Bay Area. This individual will build and maintain strong relationships targeting Northern California Enterprise accounts, driving sales growth within their assigned territory. We require an AV sales professional who currently lives in Northern California. In this role, you will be responsible for selling Crestron solutions to our end user community (primarily Enterprise customers). While we do not accept orders direct from end users, your job is to ensure any specification or Request for Proposal document is published with Crestron as the preferred solution for AV and/or UC solutions. As part of this core goal, your job will require you to engage with executive level decision makers and the engineers that support the AV/UC solutions within their enterprise. You will be tasked with delivering critical product presentations, technical trainings, and product demos. You will serve as the main point of contact and resource for all Crestron related matters for your customers. Internally, you will be expected to work as part of a team and collaborate effectively to ensure your customers are supported and that all opportunities are surrounded by Crestron team members. Responsibilities: - This individual will be responsible for identifying and developing opportunities, and driving these opportunities back to the channel team to help convert opportunity into revenue. - In this position, the candidate will hunt for new customers in the region, while fostering and developing business within our existing customer catalogs - The candidate will properly document opportunities and customer data into Salesforce CRM. Additionally, must be able to manage an accurate and robust sales funnel within CRM. - The candidate will be responsible for developing an executive annual plan for new business development and growth of existing accounts in line with the company strategy - Conduct product demonstrations, trainings, and other educational opportunities for their customers. - The candidate will also train end users and Consultants on Crestron product road maps and technology products that will advance the development of market solutions. - Along with a strong technical background, the candidate will be essential in developing accounts and selling project-based, hardware and/or software systems solutions. Qualifications: - 5+ years proven track record of sales experience selling to Enterprise, SLED, and/or Higher Education customers with the Northern California - 5+ years Audio Visual and/or Unified Communications/Conferencing solutions experience in a technical capacity - preferred - Able to communicate effectively with consultants and engineers - Previous experience documenting sales activity & funnel in CRM; Salesforce preferred. - Willing and able to develop a working knowledge of Crestron's products and software will be important as you will be demonstrating our products to potential clients - Knowledge of procurement and budgeting processes, procurement policies, IT procurement requirements, and facilities management within a large organization - Ability to partner and collaborate successfully with colleagues to achieve goals - Bachelors' Degree preferred (or equivalent experience) - Ability to travel up to 60% - Must have valid U.S. Drivers' license with the ability to drive in every state of your territory; and be able to travel up to 60% (by either car, airplane, or train). - Candidate must live within the Bay Area/Northern California sales territory. Compensation Per applicable state requirements, the annual pay range for this position ($170,000 - $220,000) which consists of base salary and target sales incentive (subject to performance), reflects the hiring range for candidates performing the role in those specific states. Also note, an individual’s offer may vary from this range as it may be impacted by additional factors, including but not limited to the candidate's hiring location, qualifications, experience, and market factors. Crestron Electronics offers a competitive total compensation package including Medical, Dental, Vision, Life Insurance, Short Term Disability, 401K with company match, Paid Time Off, Holidays, On-site Amenities at NJ Headquarters & TX Facilities, Crestron Market Cafes, and Fitness Centers. At Crestron Electronics, Diversity, Equity, and Inclusion drive innovation. Crestron’s success hinges on continuing to build a workforce of unique individuals whose passion inspires us to create and revolutionize industry-leading products and services. There will always be more to accomplish, and at Crestron, we believe the best way forward is together. EOE/M/F/D/V *No Solicitation* Any agency submittal to any employee of Crestron Electronics, Inc by any method of communication will be deemed the sole property of Crestron Electronics Inc.

United States
$170K - $220K / year
The Hanover Insurance Group logo

Commercial Surety - Manager, Underwriting Specialty (Remote)

The Hanover Insurance Group

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture.

Manager46 days ago
Full TimeRemoteTeam 5,001-10,000

For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. We live our values every day, demonstrating we CARE through our values, Sustainability initiatives and inclusive corporate culture. The Hanover’s Commercial Surety business unit is seeking an experienced Surety - Commercial Surety - Manager, UW Specialty who brings strong technical expertise, a sales-minded approach, and a collaborative spirit. This role is ideal for a relationship-driven professional who enjoys developing agency partnerships, identifying growth opportunities, and delivering tailored surety solutions that drive profitable results and is focused on Small Commercial Accounts and Transactional Surety The Manager, UW Specialty, oversees an assigned book of business, with a primary focus on key agency relationships and accounts of increased complexity. This role is responsible for evaluating current and future staffing needs and providing the leadership, coaching, and development necessary to build and sustain a high‑performing team that supports business objectives across the West region. The Manager partners closely with agents and brokers to strengthen market presence and cultivate trusted, long‑term relationships. Success in this role depends on strong collaboration with leadership teams to consistently deliver high‑quality outcomes and exceptional service to our customers. The way we work continues to evolve. This role offers flexible work arrangements and may be hybrid or fully remote, with the ability to travel as needed to support agency engagement, market development, and key meetings throughout the West region. The position may be based in CA, OR, WA, AZ, UT,ID or CO. At The Hanover, our culture is grounded in our Care Values—we care about our people, our customers, and the communities we serve. We foster an inclusive, supportive environment where experienced professionals are empowered to make decisions, share ideas, and grow their careers while working together toward shared goals. The Hanover is a diverse and inclusive organization committed to attracting, developing, and retaining top talent. We believe diverse perspectives and experiences strengthen our teams, our performance, and the relationships we build every day. Position Overview: This role resides within Commercial Surety areas of the Specialty division. Underwrites, manages, and coaches team of Underwriters within defined territory, with support and guidance from regional management. Provides oversight on day-to-day underwriting functions. Collaborates with underwriting assistants, manages assigned book of business, primarily with key agents and increased level of complexity. Responsible for assessing the present and future resource needs for employees and provide the leadership, mentoring and guidance necessary to build and sustain a high performing workforce. This is a full-time, exempt role.  IN THIS ROLE YOU WILL: Technical Underwriting: - Knows and applies advanced underwriting concepts including risk selection, exposure and hazard identification and control, coverage implications, and loss analysis. - Understands pricing components and rating methodology and correlates pricing to exposure, financial and competitive analysis. - Adheres to UW guidelines and underwriting discipline to minimize exposure and appropriately price. - Effectively identifies root cause and brings forth solutions to problems. - Participates in referrals and consultations from UAs and UWs within assigned territory Portfolio & Sales Management: - Reviews key metrics and uncovers trends that may lead to new business opportunities with agents while achieving profitable growth in accordance with business strategies. - Understands the relationship between changes in business strategies and financial results (e.g., loss ratio’s, premium, retention, and non-rate and book mix strategies). - Keeps current on state/territory issues, regulations, and trends. - Coaching and mentoring the territory UW team, providing business direction, driving UW actions towards our business objectives, training, and development of employees. - Underwriting management, development, and execution of specific territorial business plan strategies, including territorial business cultivation and agency management. - Manage agency related functions for personal book of business. - Involvement in key new business and renewals. - Stays current with and ensures team adheres to underwriting best practices and guidelines. - Oversee the operational and technical work of the team and where applicable implement claim handling best practices. Leadership & Coaching: - Managing underwriters, coaching, and mentoring, providing business direction, driving UW actions towards our business objectives, training, and development of employees. - In partnership with the Director or AVP provides ongoing team leadership including Underwriting, performance coaching, development, and engagement, talent hiring, selection and progressive performance management if needed. - Conducts formal/informal training sessions on Small Commercial Surety accounts and Transactional surety or emerging issues in order to help elevate the level of underwriting expertise in the team. - Drives underwriting quality through the self-review process. - Collaborates with Operations to execute best practices, including optimizing productivity and managing service and quality with agents. - Identifies and develops talent pipeline. - Demonstrates a willingness to consistently enhance team performance. WHAT YOU NEED TO APPLY: - Bachelor’s degree preferred, or an equivalent combination of relevant education and surety experience. Professional designations are strongly preferred - Minimum of 7+ years of experience underwriting a broad range of commercial surety bonds and building agency relationships resulting in profitable new and renewal business. - Acts as a change advocate and is open to new and different ways of thinking. - Effective problem solver, who anticipates issues, seeks out and analyzes information collaboratively to propose solutions. Takes ownership for a successful resolution - High degree of business, commercial surety, and marketplace knowledge - Excellent communication skills are essential; effective face-to-face interactions and presentations to groups, as well as strong phone skills, along with sound written communications, including impeccable follow through - Ability to effectively coach and develop others - Demonstrated ability to effectively collaborate and influence across multiple levels of the organization within senior and field management and underwriters. - Analytical Thinking - Influencing Others - Results Orientation - Agile and Adaptive - Talent Management CAREER DEVELOPMENT: It’s not just a job, it’s a career, and we are here to support you every step of the way. We want you to be successful and fulfilled. Through on-the-job experiences, personalized coaching and our robust learning and development programs, we encourage you – at every level – to grow and develop. BENEFITS: We offer comprehensive benefits to help you be healthy, build financial security, and balance work and home life. At The Hanover, you’ll enjoy what you do and have the support you need to succeed. Benefits include: - Medical, dental, vision, life, and disability insurance - 401K with a company match - Tuition reimbursement - PTO - Company paid holidays - Flexible work arrangements - Cultural Awareness Day in support of IDE - On-site medical/wellness center (Worcester only) - Click here for the full list of Benefits EEO statement: The Hanover values diversity in the workplace and among our customers. The company provides equal opportunity for employment and promotion to all qualified employees and applicants on the basis of experience, training, education, and ability to do the available work without regard to race, religion, color, age, sex/gender, sexual orientation, national origin, gender identity, disability, marital status, veteran status, genetic information, ancestry or any other status protected by law. Furthermore, The Hanover Insurance Group is committed to providing an equal opportunity workplace that is free of discrimination and harassment based on national origin, race, color, religion, gender, ancestry, age, sexual orientation, gender identity, disability, marital status, veteran status, genetic information or any other status protected by law.” As an equal opportunity employer, Hanover does not discriminate against qualified individuals with disabilities. Individuals with disabilities who wish to request a reasonable accommodation to participate in the job application or interview process, or to perform essential job functions, should contact us at:HRServices@hanover.com and include the link of the job posting in which you are interested. Privacy Policy: To view our privacy policy and online privacy statement, click here. Applicants who are California residents: To see the types of information we may collect from applicants and employees and how we use it, please click here. Compensation: The target hiring range for this role may vary based on geographic location and other factors, including merit or performance, demonstrated proficiency, skills for the role, education, travel requirements, and experience. Additional compensation may include an annual bonus (which could take the form of a general bonus, sales incentive, or short-term incentive), long-term incentive or spot recognition awards. The posted range reflects our ability to hire at different position titles and levels depending on background and experience.

United States
$124K - $155K / year