Remote Supervisor, Finance - Provider Reimbursement at Centene

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

***This role is for New York residents only. Office location below for meetings twice a year***

25-01 Jackson Ave.

Long Island City, NY 11101

Position Purpose: With the Fidelis Care Health Plan, you will be responsible for the direction of activities, scheduling, and work assignments for an assigned, specialized area. Monitors assigned area for compliance with financial policies, established procedures and governmental regulations. Directly supervises, coaches and directs staff.

• Ensure all Fee Schedule Updates are implemented appropriately and timely.
• Maintain department policy and procedures.
• Monitor daily team tasks- claims pend and appeals
• Assists department management in scheduling and directing the activities of the department. May requires coordination of resources from various departments in order to achieve goals and complete projects.
• Identifies best practices and proactively develops/coordinates improvements in processes or automated systems. Assists management in identifying opportunities that will reduce operating costs for department.
• Directly supervises, coaches and develops non-exempt staff. Hires, trains and reviews performance of all assigned staff. Proactively evaluates and plans staffing and workflow processes for assigned area. Makes recommendations for staffing changes as workload requires. Makes recommendations for staff salary changes as appropriate. Initiates performance improvement plans upon identification of performance deficiencies.
• As an escalated point of contact, uses interpersonal skills to foster a positive working environment and resolve conflicts. Establishes and maintains amicable relations with internal business partners and external vendors.
• Assumes responsibility for the compilation and preparation of reports and communications as requested by management, as required by governmental agencies, or as deemed appropriate.
• Prepares and supervises completion of projects as required by management. Represents department at project meetings as needed.
• Acts as knowledge resource for associates and customers regarding departmental and Company policies and procedures.
• Performs other administrative, supervisory or project-related tasks as assigned.

Education/Experience: Associates Degree or equivalent work experience; Specialized training in specific area of responsibility is helpful. Minimum (2) years applicable work experience in a related environment with minimum (1) year experience in a supervisor/manager capacity.

Preferred Skills:

Claims

SQL or Snowflake manipulation

2 years of leadership experience

Auditing

Implementation

Testing

Validation

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act