business analyst in healthcare claims

Centene connects people to the care they need to live healthier lives and works to make healthcare more accessible and effective.

• 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;
• Perform other duties as assigned;
• Comply with all policies and standards.

• Bachelor’s degree in a related field or equivalent experience;
• 2+ Years of business process analysis, preferably in healthcare, or claims payment/analysis experience;
• Experience documenting business processes and gathering requirements;
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future;
• Nice to have: Claims coding background with payment integrity and Excel experience, claims coding research and root cause analysis, knowledge of managed care information systems, experience in benefits, pricing, contracting or claims, knowledge of provider reimbursement methodologies, previous structured testing experience.

• Pay range: $56,200.00 - $101,000.00 per year;
• Health insurance;
• 401K and stock purchase plans;
• Tuition reimbursement;
• Paid time off plus holidays;
• Actual pay depends on skills, experience, education, and other job-related factors permitted by law;
• Total compensation may include additional incentives.