Centene Corporation Logo

Centene Corporation

Claims Configuration Business Analyst III

Sorry, this job was removed at 02:43 p.m. (IST) on Thursday, Apr 03, 2025
Remote
39 Locations
Remote
39 Locations

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

Similar Jobs

15 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
15 Hours Ago
Remote
47 Locations
Mid level
Mid level
Healthtech
Plan and oversee programs using cross-functional teams to meet business needs, manage resources, and improve processes within healthcare.
Top Skills: Corporate Standard ToolsIndustry Standard ToolsProject Management Tools
15 Hours Ago
Remote
47 Locations
Mid level
Mid level
Healthtech
Review and assist with the preparation of state income and franchise tax returns, analyze tax laws, and support tax audits.
Top Skills: CheckpointMicrosoft AccessExcelMicrosoft WordOnesourcePeoplesoft

What you need to know about the Mumbai Tech Scene

From haggling for the best price at Chor Bazaar to the bustle of Crawford Market, the energy of Mumbai's traditional markets is a key part of the city's charm. And while these markets will always have their place, the city also boasts a thriving e-commerce scene, ranking among the largest in the region. Driven by online sales in everything from snacks to licensed sports merchandise to children's apparel, the local industry is worth billions, with companies actively recruiting to meet the demands of continued growth.

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account