Supervisor, Payment Integrity - Appeals & Disputes
This is the employer's own posting, not a copy on a job board.
What we know
Is it still open?
Confirmed still open
Last checked 1d ago — checked against the employer's own applicant tracking system, which is the company answering directly.
We re-read the employer's own applicant tracking system and the posting was still there. That is the company answering directly.
How old is it?
Posted 2d ago
The date the source published, not the day we noticed it (2026-09-30). Last seen at its source just now.
We have tracked this listing since 30 Sep 2026 (1 days). The employer's own board has carried it every time we have read it, most recently just now.
Is it remote?
The listing says yes
The location field doesn't say remote, so our assessment is based on the title or the description. Read the listing before applying.
Who may apply?
MO, TX, FL
The description states no restriction of its own. This is the source's own tag.
Pay
$70.1k–126.2k/yr
Read out of the job description by us, not from a structured field. Shown in the posting's own currency and period; we never convert.
Skills named in the ad
Recognised terms only, from a fixed vocabulary — this is what CV matching compares against.
Carried by 1 source
-
workday employer's own board first seen 1d ago · last seen just now
- location not stated
The listing
Position Purpose:
Lead clinical coding compliance nurses and non-clinical team members through the code editing adjudication process that includes prepay compliance, adjustments, and appeals for multiple code editing software systems.
- Ensure Coding Analytics team consistently meets production standards and passes quality audits.
- Oversee relationships with health plans, claims, and other departments resulting in a significant impact on Centene’s ability to meet key performance indicators.
- Identify and implement best practices and operational efficiencies.
- Serve as a health plan account liaison by lending expertise to code editing decisions.
- Research coding questions and issues.
- Provide expert testimony in state fair hearings and to leadership of health plans when discussing state complaints from providers.
- Triage and resolve escalated health plan, Claims department, and provider inquires and/or issues.
- Responsible for communication across IT, health plans, vendors, and all other affected departments.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
Associate’s degree in Medical Billing and Coding, Healthcare, related field, or equivalent experience. 5+ years of account management, nursing, healthcare management, medical billing, or CPT coding, claims, coding analysis and trends, and/or data management experience.
Experience using code editing software systems in a managed care organization preferred.
Licenses/Certifications: Current state’s RN license or Certified Professional Coder (CPC) preferred.
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