Senior Manager, Payment Integrity & Cost Recovery (Remote)
Centene Corporation
- Remote job
Centene Corporation in the United States seeks a Senior Cost Recovery and Cost Containment specialist to oversee and monitor performance of internal and external cost recovery initiatives for health plans. You will develop annual budgets with national vendors and drive cost avoidance with measurable targets. Collaborating with plans and vendors, you will identify opportunities to reduce costs, present trends, and support implementation of action plans while ensuring compliance with rules and #J-18808-Ljbffr Centene Corporation
- ...professional to oversee internal and external cost recovery and containment initiatives, driving... ...performance, present trends to Senior Management, and help implement cost-saving processes... ...and internal policies. Flexible remote/hybrid/work arrangements available. #J...Remote workSeniorFlexible hours
- Centene Corporation is seeking a senior-level professional to oversee cost recovery and containment initiatives across health plans. You will coordinate internal and external vendors, develop budgets, and drive actions to realize annual savings while ensuring compliance...Senior
$112.7k - $193.2k
...Caring. Connecting. Growing together.The Senior Product Manager is a strategic product leader... ...the product strategy for one of Optum Payment Integrity's Facility Claim Review products. These... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as...Remote workSeniorMinimum wageFull timeWork experience placementWork at officeLocal areaShift work$110.5k - $150k
...on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Payment Integrity Program Development Senior Manager – Clinical & Facility Specialist... ...program . ~401(k) program . ~ Remote work within the United States. ~...Remote workSeniorFull timeLocal area$110.5k - $150k
A bit about this role: As our Senior Payment Integrity Program Development Manager, you will serve as the primary clinical architect and inventor behind Devoted... ...review, and rule development. #LI-DS1 #LI-Remote Salary range: $110,500 - $150,000 / year The pay range...Remote workSeniorFull timeContract workInternshipLocal area$87.7k - $157.8k
...preventable readmissions, cost recovery, cost avoidance, and payment accuracy. You will lead a... .... Position Purpose Manages a team of auditors and clinical... ...achievement of payment integrity objectives. This role directs... ...approach to work with remote, hybrid, field or office...Remote workFull timePart timeWork at officeFlexible hours- PacificSource is seeking a Senior Fraud, Waste and Abuse (FWA) Specialist to lead the Payment Integrity and FWA programs, ensuring compliance... ...and regulatory agencies, manage investigations, reporting,... ...training, and drive enhancements to recoveries and program #J-18808-Ljbffr...Remote jobSenior
- Inland Empire Health Plan (IEHP) is seeking a Senior Payment Integrity Program Development Specialist in Rancho Cucamonga, CA. The role drives research... ...into actionable outcomes, enhance FWA detection, and lead cost-avoidance strategies across operations. #J-18808-Ljbffr...Remote jobSenior
$140k - $165k
...program, project, cost, asset and commercial management, controls and performance... ...an experienced Senior Estimator/Cost... ...collaborating within integrated project teams. In this... ...flexibility for remote work; however,. proximity... ..., valuations, and payment certification.Carry...Remote workSeniorContract workFor contractorsFor subcontractorInterim roleFlexible hours$132.4k - $251.6k
...is seeking a dynamic Senior Manager (P5) to join our North... ...driving a regionally integrated strategy to achieve two... ...in overall shop visit cost Improving engine overhaul... ...as on-site, hybrid or remote. The salary range... ...bargaining agreement. Payments under these annual...Remote workSeniorPermanent employmentContract workTemporary workWork experience placementWork at officeFlexible hours- ...Number: 26-00877Title: Senior Quality Analyst (... ...Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-... ...)/ Last option is remote Experience- 7+ Years... ...retries, and failure-recovery scenarios. Validate... ...Familiarity with Kafka schema management and serialization...Remote workSeniorContract work
$151k - $204.3k
...Buildout and Operations Manager to own the deployment,... ..., and system-integration lab environments. This... ...switching, firewall access, remote access, control-plane... ...development- Experience in DFx (cost, test, manufacturing)-... ...will include sign-on payments and restricted stock...Remote workSeniorPermanent employmentLocal areaFlexible hours- IEHP in Rancho Cucamonga is seeking a Senior Payment Integrity Analyst to lead daily PI operations, audits, and reporting. The role includes mentoring junior analysts and driving cost containment and regulatory compliance, with a focus on payment integrity and provider...Remote jobSenior
- CareOregon is seeking a Payment Integrity Analyst to execute claims investigation and recovery strategies. This role analyzes claims data to identify cost containment opportunities and conducts audits, coordinating with Clinical, Contracting, Finance, and Claims teams...Remote job
$115k - $145k
...spectrum emergency management services to public... ...Job Title: Senior Project Manager, Emergency... ...Management Recovery Full Time or Part... ...will primarily be remote work from home with... ...Maintain accuracy and integrity of PMO systems, dashboards... ..., budgets, and cost tracking. Track...Remote workSeniorHourly payFull timeContract workTemporary workPart timeSeasonal workWork at officeLocal areaWork from homeVisa sponsorship- ...TexasHybridFull Time$110k - $125kA fast-growing payments integration start-up headquartered in Houston, TX is urgently hiring a Senior Project Manager to lead enterprise payment platform... .... This role is hybrid with remote flexibility and offers benefits including...Remote workSeniorFull timeImmediate start
$112.7k - $193.2k
...help organizations reduce costs while improving risk management, quality and revenue... ...Connecting. Growing together.The Senior Product Manager is a... ...for one of Optum Payment Integrity's Intelligent Fraud Detection... ...the flexibility to work remotely * from anywhere within...Remote workSeniorMinimum wageFull timeWork experience placementWork at officeLocal areaShift work- ...Missouri seeks a seasoned cost containment and cost recovery specialist to oversee performance... ...against forecasts, manage vendor relationships, and... ...trends, presenting reports to senior management, and driving... ...complying with policies. Flexible remote/hybrid/office options are...Remote workWork at officeFlexible hours
- ...seeking a seasoned FWA professional to develop and manage fraud, waste and abuse programs for a large... ...and collaboration with operating teams to optimize recovery, reporting, and readiness reviews, with flexible remote/hybrid work #J-18808-Ljbffr Centene CorporationRemote workFlexible hours
- Client Experience Manager at Rialtic, Inc. Atlanta or Remote About Rialtic Rialtic is an enterprise... ...Rialtic’s best‑in‑class payment accuracy product brings... ...problem to reduce costs, increase efficiency and... ...relationship‑focused. Values High Integrity - Do the right thing,...Remote workWork from homeHome office
$87.7k - $157.8k
...Develop, implement and manage strategic fraud, waste and... ...(TPL), and Subrogation recovery activities, including identification... ...and systems to assure integrity and compliance in billing and claims payment Lead teams of analysts... ...approach to work with remote, hybrid, field or office...Remote workFull timeContract workPart timeWork at officeImmediate startFlexible hours$24 - $31 per hour
...Payment Integrity Project Coordinator Remote eligible within Oregon, Washington, Idaho or Utah, OR option to work... ...Bachelor's degree in business, project management, healthcare, or related field and... ...and management of project costs, resources, issues, changes and risks...Remote workWork at officeImmediate startWork from homeFlexible hours$104.04k - $137.84k
...experience! Reporting to the Director of Payment Integrity, the Manager, Payment Integrity Enablement... ...coding accuracy, claim edits, and medical cost containment. Ensure Payment Integrity... ...a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...Remote workDaily paidTemporary workWork at officeFlexible hoursShift work$15 per hour
...ManagementJob Number: 191584Eligible for remote: YesApply: JobGeorgia-Pacific is seeking a Senior Project Manager to lead critical capital... ...across our Pulp, Power & Recovery (PPR) operations. As one of the... ...improve safety, reliability, cost competitiveness, and environmental...Remote workSeniorFor contractorsRelocationFlexible hours$125k - $183k
...Job Description Job Description This is a remote position. Position Title: Senior Manager, Billing & Payment Platforms Base Salary: $125,000 to $1... ...legacy). This role is accountable for platform integrity (rating, invoicing, payments, and posting), operational...Remote workSeniorLocal areaFlexible hours- Optum, a global health services company, seeks a Senior Product Manager for Professional Claims Review - Payment Integrity. You will define strategy, own roadmaps, and... ...deliver measurable client value. This role offers remote work anywhere in the U.S. with in-office...Remote jobSeniorWork at office
- Optum is seeking a Sr. Technical Product Manager for Payment Integrity to lead strategy and delivery for scalable platform capabilities. This remote role partners with engineering, architecture, operations and business leaders to drive value across multiple portfolios....Remote jobSenior
- Southern California Edison (SCE) is seeking a Cost Recovery Senior Specialist to join their State Regulatory Operations team in Rosemead, California... .... As part of a hybrid work arrangement, you'll balance remote work with reporting to SCE facilities, contributing to SCE's...Remote workSenior
- Optum is seeking a Senior Product Manager to define and execute the product strategy for our Facility... ...Claim Review solutions within Optum Payment Integrity. You will own the product vision,... ...execution and cross-functional leadership. Remote work across the U.S. #J-18808-Ljbffr...Remote workSenior
- PacificSource is seeking a Senior Fraud, Waste and Abuse (FWA) Specialist to lead the organization’s FWA program, enhance payment integrity, and ensure regulatory compliance. The role requires collaboration with CMS, state agencies, and internal teams to detect, prevent...Remote jobSenior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Manager, Payment Integrity & Cost Recovery (Remote). Be the first to apply!
- pet manager New York, NY
- seasonal manager New York, NY
- pharma manager New York, NY
- senior manager legal New York, NY
- caregiver manager New York, NY
- childcare manager New York, NY
- heavy equipment manager New York, NY
- analysis manager New York, NY
- range manager New York, NY
- infection control manager New York, NY


