Note: The job is a remote job and is open to candidates in USA. Centene Corporation is a healthcare organization focused on connecting people to the care they need. The Business Analyst II will analyze business needs, claims coding processes, and operational requirements, while supporting implementation, testing, process improvement, reporting, and coordination across business units.
Responsibilities
- Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
- Identify and analyze user requirements, procedures, and problems to improve existing processes
- Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
- Identify ways to enhance performance management and operational reports related to new business implementation processes
- Develop and incorporate organizational best practices into business applications
- Lead problem solving and coordination efforts between various business units
- Assist with formulating and updating departmental policies and procedures
- Performs other duties as assigned
- Complies with all policies and standards
Skills
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Bachelor's degree in related field or equivalent experience
- 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience
- Prefer candidates who possess a claims coding background with payment integrity and excel experience
- Experience with claims coding research and root cause analysis
- Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred
- Knowledge of provider reimbursement methodologies preferred
- Previous structured testing experience preferred
Benefits
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- A flexible approach to work with remote, hybrid, field or office work schedules
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