Business Analyst II – Payment Integrity

🔥 1 minute ago

🐊 Florida, Illinois, +3 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Business Analyst

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

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.

📋 Description

• Perform analysis and interpretation to link business needs and objectives for the assigned function • 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 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

🎯 Requirements

• Bachelor’s degree in related field or equivalent experience • 2–4 years of business process or data analysis experience, preferably in healthcare • For Payment Integrity: 2+ years of business process analysis, preferably healthcare, or claims payment/analysis experience • Knowledge of managed care information systems preferred • Experience in benefits, pricing, contracting or claims preferred • Knowledge of provider reimbursement methodologies preferred • Previous structured testing experience preferred • Project management experience preferred

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off • Paid holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity