Centene Corporation
Centene Corporation
Centene Corporation एक स्वास्थ्य सेवा और बीमा कंपनी है, जो सरकार द्वारा प्रायोजित कवरेज और सामुदायिक स्वास्थ्य पर केंद्रित है। इसकी सेवाओं में Medicaid, Medicare, Health Insurance Marketplace योजनाएँ और सैन्य समुदायों के लिए TRICARE सहायता शामिल हैं। Centene अपने सदस्यों की आवश्यकताओं को पूरा करने के लिए स्थानीय स्तर पर स्वास्थ्य सेवाएँ उपलब्ध कराने को गैर-लाभकारी संगठनों के साथ साझेदारियों से जोड़ती है। कंपनी अपने संचालन और समुदायों के समर्थन के दृष्टिकोण में पर्यावरणीय जिम्मेदारी और नैतिक शासन को भी शामिल करती है।

Program Manager III, SIU Intelligence and Innovation - Remote

Lead Centene’s healthcare fraud intelligence and anti-fraud innovation programs. Apply complex healthcare data, analytics, and predictive monitoring to support investigations and fraud prevention in New York.

विवरण

  • Guide the strategy, development, and delivery of SIU anti-fraud detection programs, analytics initiatives, tools, and priorities.
  • Convert complex, high-volume data into defensible insights that support investigative leads, case development, fraud prevention, and informed decisions.
  • Use HCFS PostShield, AI Shield, Pharmacy Shield, and other internal and external data sources to detect emerging risks and shape detection strategies.
  • Work with SIU leaders and enterprise partners to develop analytical methods, predictive monitoring solutions, dashboards, performance measures, and reporting.
  • Coordinate with teams across SIU, Claims, Configuration, IT, Clinical, Compliance, Market Operations, and external organizations.
  • Track developing fraud schemes, industry patterns, regulatory changes, and opportunities to improve analytical capabilities.
  • Present analytical results, fraud trends, program outcomes, financial effects, risks, and strategic recommendations to senior leaders and stakeholders.
  • Keep audit-ready records covering program roadmaps, governance materials, risk and decision logs, methodologies, claim-volume analyses, performance measures, and financial reporting.
  • Complete additional responsibilities as assigned.
  • Follow all applicable policies and operating standards.

आवश्यकताएँ

  • Bachelor’s degree in business administration, healthcare administration, or a related discipline, or four years of equivalent experience.
  • At least five years of experience in program, project, or product management.
  • Experience in healthcare fraud, analytics, investigations, project management, data science, or a related healthcare setting is preferred.
  • Preferred credentials include CFE, AHFI, CHC, PMP, SAS, or CPC.
  • Meet enterprise governance standards, regulatory obligations, and applicable policies and operating requirements.
  • Applicants with arrest or conviction records will be considered under the LA County Ordinance and California Fair Chance Act.

लाभ

  • Competitive compensation.
  • Health insurance coverage.
  • 401(k) plan.
  • Employee stock purchase plans.
  • Tuition reimbursement.
  • Paid time off and holidays.
  • Flexible remote, hybrid, field, or office work arrangements.
  • Additional incentives may form part of total compensation.
  • Equal opportunity employment with a commitment to diversity.

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