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Supervisor, Finance (Provider Claims Reimbursement)

Centene Corporation

This is a Contract position in Rego Park, NY posted October 17, 2020.

Position Purpose: Under minimal direction, 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. Ensures internal and external customer service requirements are met or exceeded. Ensures assigned area completes work within established deadlines and ensures quality standards are maintained. Directly supervises, coaches and directs staff. Responsible for overall efficiency of assigned area and assists management with ensuring overall efficiency of department. Ensures adequate, systematic controls are in place and makes recommendations for process improvement. Ensures assigned area completes work timely, accurately and within established departmental guidelines. Prepares, reviews and reconciles information on accounting system related to specific assigned area of responsibility. Advises management of performance issues and proactively makes recommendations for process improvement. 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.Qualifications:Education/Experience: Two-year degree or equivalent work experience; Specialized training in specific area of responsibility is helpful. Minimum two years applicable work experience in a related environment with minimum one year experience in a supervisor/manager capacity.Preferred Qualifications:Proficiency in Excel and SQLManaged care experience strongly preferredStrong analytical and problem solving skillsExperience extracting, analyzing and summarizing claims financial data and identify trends in order to prepare standard and adhoc financial reportsExpertise with analyzing medical cost, utilization, and trends to explain variances and fluctuationsKnowledge of various provider reimbursement methodologies (Fee for service, capitation, value based programs)Ability to research and effectively communicate findings and provide recommendations as appropriateCentene 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.