Centene Corporation Logo

Centene Corporation

Claims Configuration Business Analyst III

Posted 2 Days Ago
Remote
39 Locations
Mid level
Remote
39 Locations
Mid level
Analyze business needs and objectives, improve processes, support initiatives, coordinate training, and ensure operational performance in healthcare claims.
The summary above was generated by AI

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function.

  • Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
  • Identify and analyze user requirements, procedures, and problems to improve existing processes
  • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
  • Identify ways to enhance performance management and operational reports related to new business implementation processes
  • Coordinate with various business units and departments in the development and delivery of training programs
  • Develop, share, and incorporate organizational best practices into business applications
  • Diagnose problems and identify opportunities for process redesign and improvement
  • Formulate and update departmental policies and procedures
  • Serve as the subject matter expert on the assigned function product to ensure operational performance
  • Ability to travel
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: Bachelor’s degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred.
Benefits and Payment Configuration: Bachelor’s degree in related field or equivalent experience. 4+ years of business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred.
 

Pay Range: $68,700.00 - $123,700.00 per year

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.  Total compensation may also include additional forms of incentives.

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

Top Skills

Claims Payment Systems
Data Analysis

Similar Jobs

14 Days Ago
Remote
Hybrid
MA
Senior level
Senior level
Cloud • Insurance • Professional Services • Analytics • Cybersecurity
The Sr. Product Manager develops product strategies for complex data products, ensuring customer needs align with business goals, collaborating across functions, and managing Agile processes.
Top Skills: Agile MethodologiesDesign ThinkingSafe
2 Days Ago
Remote
12 Locations
Expert/Leader
Expert/Leader
Food
Lead the Data & Analytics strategy for PNE by centralizing data governance, enabling data-driven decision-making, and fostering a data-first culture across the organization.
Top Skills: Ai/MlCloud PlatformsData ArchitecturesData Governance Frameworks
6 Days Ago
Remote
Rabat, MAR
Junior
Junior
Information Technology
The Data Analyst will develop briefs, maintain analytics views, update SQL procedures, provide insights, and improve processes for effective decision-making.
Top Skills: ExcelGitMS OfficePower BIPythonRSQL

What you need to know about the Pune Tech Scene

Once a far-out concept, AI is now a tangible force reshaping industries and economies worldwide. While its adoption will automate some roles, AI has created more jobs than it has displaced, with an expected 97 million new roles to be created in the coming years. This is especially true in cities like Pune, which is emerging as a hub for companies eager to leverage this technology to develop solutions that simplify and improve lives in sectors such as education, healthcare, finance, e-commerce and more.

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account