Business Analyst II - Claims Coding Triage

Centene Corporation•Remote-MO, MI

20h•$56,200 - $101,000•Remote

About The Position

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Requirements

Bachelor’s degree in related field or equivalent experience.
2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience.
Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred.
Knowledge of provider reimbursement methodologies preferred.
Previous structured testing experience preferred.
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
Claims coding background with payment integrity and excel experience.
Experience with claims coding research and root cause analysis.

Responsibilities

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 potential 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.
Performs other duties as assigned.
Complies with all policies and standards.