Business Analyst II - Coding Defect Management & Resolution

Centene Corporation•New York, MI

1d•$56,200 - $101,000•Remote

About The Position

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 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.

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.
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.
Coding defect research and resolution experience.

Nice To Haves

Claims coding background
Payment integrity experience
Excel experience

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.