Senior Payment Integrity Specialist – Governance

Centene Corporation

Lead Business Process Consultant provides management support and strategic guidance at Centene. Oversee enterprise level initiatives across various functional areas while mentoring junior staff.

Posted 5/6/2026full-timeRemote • Florida, Illinois, Montana, North Carolina, Texas • 🇺🇸 United StatesSenior💰 $107,700 - $199,300 per yearWebsite

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas
Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions
Involved in team level development activities, such as training, mentoring, and tracking department metrics
Mentors junior team members on duties and responsibilities with supervision from leadership
Leads all levels of staff responsible for initiatives included in the company’s operating plan in order to support their success, development and effective completion and communication of their initiative
Oversees the pipeline of business cases and prioritize them based on strategic value, interdependencies, risk appetite, and available capacity
Ensures consistent methodology and rigor in business case development across all teams, providing quality assurance and coaching to Senior Business Process Consultants
Ensures all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives
Leads engagement and communications with senior and executive stakeholders, translating business pain points into strategic recommendations and ensures successful execution towards plan
Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems
Leads larger scale, cross-functional initiatives that are intended to drive performance improvement, financial gains, customer satisfaction and improved compliance
Provides strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results
Organizes work teams, drives consensus and ensures end to end policy/process integrity to accomplish project work

Requirements

What you’ll need

Bachelor's Degree in a related field or equivalent experience required
Master's Degree in a related field preferred
7+ years experience managing, leading projects within a consulting, healthcare, and or related sectors required
Certified Project Management Professional (PMP)-PMI preferred
Process quality certification preferred

Benefits

Comp & perks

health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

business case developmentportfolio planningquality assuranceROI trackingperformance improvementpolicy guidanceprocess integrityproject management

Soft Skills

strategic guidancementoringteam leadershipcommunicationcollaborationconsensus buildingstakeholder engagement

Certifications

Bachelor's DegreeMaster's DegreeProject Management Professional (PMP)Process quality certification