Senior Cost Containment Manager

Safety National•Saint Louis, MO

4d•Hybrid

About The Position

As a Senior Cost Containment Manager, you will play a critical role in driving effective medical cost management strategies across complex workers’ compensation claims. In this position, you’ll partner closely with Claims Managers, TPAs, and internal stakeholders to analyze, negotiate, and resolve high-exposure medical bills while ensuring accuracy, compliance, and cost efficiency. You will take ownership of complex medical bill reviews, including prospective negotiations for large procedures and retrospective audits of hospitalization charges. Your ability to interpret detailed billing information and translate it into actionable insights will directly impact claim outcomes and overall cost containment efforts. You’ll also serve as a trusted advisor—educating claims teams, supporting reserve strategies, and developing plans of action for challenging cases. This role offers the opportunity to influence both individual claim outcomes and broader organizational practices. From conducting TPA audits to identifying training opportunities and partnering with industry vendors, you’ll help shape best practices while delivering measurable value. If you enjoy problem-solving, negotiation, and collaborating across teams in a fast-paced environment, this role will allow you to make a meaningful impact.

Requirements

Must have been in your current role for 12 months or longer at the time of application
Must not be on a Performance Improvement Plan (PIP) or been subject to any other disciplinary measures within the past 12 months
3 or more years of workers’ compensation bill review experience or related experience
Strong knowledge of medical billing, review processes, and cost containment strategies
Excellent written and verbal communication skills, with the ability to explain technical information to non-medical audiences
Proven ability to manage multiple priorities in a fast-paced environment while maintaining organization and attention to detail
Strong negotiation and analytical skills
Proficiency in Microsoft Office (Word, Excel, Outlook)
Must be presently authorized to work in the U.S. without a requirement for work authorization sponsorship by our company for this position now or in the future

Nice To Haves

Experience negotiating large medical bills, including catastrophic claims and rehabilitation services
Familiarity with TPA operations and medical bill review vendor management
Experience conducting audits and delivering training to claims or operational teams
Background in evaluating medical bill review programs and identifying cost-saving opportunities
Experience supporting reserve analysis through medical cost projections
Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures.

Responsibilities

Driving effective medical cost management strategies across complex workers’ compensation claims
Partnering closely with Claims Managers, TPAs, and internal stakeholders to analyze, negotiate, and resolve high-exposure medical bills while ensuring accuracy, compliance, and cost efficiency
Taking ownership of complex medical bill reviews, including prospective negotiations for large procedures and retrospective audits of hospitalization charges
Interpreting detailed billing information and translate it into actionable insights to directly impact claim outcomes and overall cost containment efforts
Serving as a trusted advisor—educating claims teams, supporting reserve strategies, and developing plans of action for challenging cases
Conducting TPA audits
Identifying training opportunities
Partnering with industry vendors
Shaping best practices while delivering measurable value