Business Analyst III

8 hours ago

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Logo of Centene Corporation

Centene Corporation

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• 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.

🎯 Requirements

• 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. • Experience in Amysis, Excellus, Visio, Power Bi and Excel strongly preferred. • Any experience in project management is preferred.

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules

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