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Transforming the health of the communities we serve, one person at a time.
Senior Manager, Payment Integrity – Provider Experience, Enablement
Location
Missouri
Posted
135 days ago
Salary
$107.7K - $199.3K / year
Seniority
Senior
Job Description
Senior Manager, Payment Integrity – Provider Experience, Enablement
Centene Corporation
• serves as the strategic leader responsible for elevating the provider experience and strengthening enterprise alignment through the Health Plan Concierge function • oversees escalated provider issue management and acts as a critical partner to Network, Health Plans, Claims, and other cross functional teams • ensures that provider impacts of Payment Integrity programs are clearly understood, proactively communicated, and operationally supported • provides actionable insights related to contracting considerations, provider experience trends, operational readiness, and downstream impacts of Payment Integrity initiatives • manages escalations that fall outside traditional dispute pathways • leads provider enablement efforts by developing clear, accessible education, training materials, communication resources, and data driven insights that support provider understanding and adoption of Payment Integrity program requirements • monitors escalation patterns, market signals, and provider feedback • informs program enhancements, improves process consistency, reduces friction points, and fosters a fair, collaborative relationship between the health plan and the provider community • prepares, interprets, and presents reporting and insights to senior leadership, highlighting provider experience trends, escalation patterns, cost avoidance, recovery outcomes, and operational impacts
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
- 6+ years of experience in Payment Integrity, Health Plan Operations, Provider Network, Claims, Audit, or related payer functions
- 4+ years of leadership experience with direct reports
- 4+ years of managing escalated provider issues and collaborating with Network and Health Plans
- 2+ years of experience with SIU/FWA investigations, provider behavior reviews, documentation development, or fraud/waste mitigation
- Experience developing provider-facing education, training materials, or communications
- Experience analyzing trends, interpreting data, and translating insights into operational or program improvements
- Experience coordinating cross functional workstreams across Claims, Network, Clinical, Legal, Compliance, and Technology.
- Supporting provider contracting teams or contributing contracting insights related to PI programs.
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
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