Centene Corporation
Centene Corporation
Centene Corporation este o companie de servicii medicale și asigurări axată pe acoperirea finanțată de guvern și pe sănătatea comunităților. Serviciile sale includ Medicaid, Medicare, planuri din cadrul pieței asigurărilor de sănătate și sprijin TRICARE pentru comunitățile militare. Centene combină furnizarea localizată de servicii medicale cu parteneriatele cu organizații nonprofit pentru a răspunde nevoilor membrilor pe care îi deservește. Compania integrează, de asemenea, responsabilitatea față de mediu și guvernanța etică în modul său de operare și de sprijinire a comunităților.

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.

Descriere

  • 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.

Cerințe

  • 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.

Beneficii

  • 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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