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Director, Payment Integrity: Appeals & Disputes (Remote
Remote / Online - Candidates ideally in
Missouri, USA
Listed on 2026-08-20
Missouri, USA
Listing for:
Centene Management Company LLC
Full Time, Remote/Work from Home
position Listed on 2026-08-20
Job specializations:
-
Healthcare
Healthcare Compliance, Healthcare Management
Job Description & How to Apply Below
Centene Management Company LLC seeks an experienced professional to oversee prepay waste and abuse reviews, coding, editing, and audit programs, ensuring compliance with state and federal regulations. The role includes guiding policy development, presenting findings to senior management, and leading Prepay Compliance Managers to reduce waste, abuse, and fraud.
Responsibilities also include designing and implementing payment integrity edits, monitoring regulatory changes, and delivering training
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