Business Analyst III – Encounters, Claims, EDI, SQL

🔥 0 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• 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 • Comply with all policies and standards

🎯 Requirements

• 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 • 4+ years of business process analysis experience in healthcare industry or 3+ years of managed care encounters experience • Experience with encounters or claims business analysis experience in healthcare, preferably managed care or Medicaid • Strong SQL writing and query development skills preferred • Experience creating, optimizing, and maintaining database tables preferred • Experience with healthcare encounters and EDI transactions, including data analysis, troubleshooting, reconciliation, and support of end-to-end business processes preferred • Knowledge of Amisys or other claims system preferred • Knowledge of HIPAA transactions, including 837, 999, 824, and 277, preferred • SQL scripting preferred

🏖️ Benefits

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