Senior Manager, IP Validation

Location: Remote-NY, Remote-MO

Time Type: Full time

Job Description

This is a remote position that can be located anywhere.

Position Purpose: Oversee the maintenance of accurate financial records and financial analytic functions.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.

• 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
 

Education/Experience: 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. Experience in public accounting, operations, financial analysis preferred. Experience in healthcare insurance strongly preferred.

License/Certification: CPA preferred.

Pay Range: $107,700.00 - $199,300.00 per year

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.
 

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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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