Business Analyst II - Payment Integrity

Centene Corporation•Remote-MO, MO

2d•$56,200 - $101,000

About The Position

The Business Analyst II performs analysis and interpretation to connect business needs and objectives with the assigned function. The role supports business initiatives through data analysis, identifying implementation barriers, and user acceptance testing of new systems. It analyzes user requirements, procedures, and problems to improve existing processes; conducts detailed project analysis; recommends business solutions; and assists with implementation. The position also enhances performance management and operational reports related to new business implementation, incorporates organizational best practices into business applications, leads problem-solving and coordination across business units, and assists with departmental policies and procedures. Other duties may be assigned, and the role must comply with all policies and standards. The position is associated with Payment Integrity, including Benefits and Payment Configuration and Compliance Coding/Prepay Compliance. Relevant work may involve business process analysis, requirements gathering and documentation, or claims payment and analysis.

Requirements

Bachelor’s degree in a related field or equivalent experience.
2–4 years of business process or data analysis experience, preferably in healthcare.
For Compliance Coding/Prepay Compliance (Payment Integrity): 2 or more years of business process analysis, preferably in healthcare, such as documenting business processes and gathering requirements, or claims payment/analysis experience.

Nice To Haves

Project management experience preferred.
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.

Responsibilities

Support business initiatives with 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.
Perform other duties as assigned.
Comply with all policies and standards.