Senior Manager, IP Validation

Centene Corporation•Remote-NY, MO

3d•$107,700 - $199,300•Remote

About The Position

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Requirements

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
Bachelor's degree in Accounting, Finance, or equivalent experience.
5+ years of accounting, financial analysis or finance related experience.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Nice To Haves

Experience in public accounting, operations, financial analysis preferred.
Experience in healthcare insurance strongly preferred.
CPA preferred.

Responsibilities

Prepare and maintain monthly estimates of inpatient incurred but not reported (IP IBNR) expenses.
Collaborate with the Utilization Management team to review inpatient authorization data and establish a recurring validation process that ensures data accuracy, completeness, and reliability.
Develop and maintain standardized review processes and reporting for inpatient spend, including analyses of key drivers contributing to budget and forecast variances.
Oversee preparation of accurate and timely financial reports for IP spend.
Oversee the financial and business analyses based on information from various sources and financial reports.
Interpret financial reports for management team.
Review and evaluate analyses and recommend appropriate actions to senior management.
Prepare budget and forecast and analyze financial results related to expectations for IP claims and authorization.
Monitor legislative and political developments affecting the business unit from a financial perspective.