Senior Cost Containment Manager

Safety National • Maryland Heights, 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

• 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
• This position allows for a hybrid work schedule which includes a minimum of 3 days per week in our St. Louis Corporate Office, located at 1832 Schuetz Rd. Saint Louis, MO. All employees are required to submit work from home requests and follow our Work From Home policy, which will be provided to all candidates selected to interview.

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

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
• 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

Benefits

• generous health, dental, and vision coverage
• health savings accounts
• a 401(k)-retirement savings match and an annual profit sharing contribution
• family forming benefits for adoption, fertility, and surrogacy
• generous paid time off and paid holidays
• paid parental and caregiver leave
• a hybrid work environment
• company-paid life insurance and disability
• professional growth and development opportunities in addition to employee recognition and well-being programs

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 501-1,000 employees