Centene-posted 8 months ago
$68,700 - $123,700/Yr
Mid Level
Ambulatory Health Care Services

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. Remote CA. 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.

  • 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.
  • Perform other duties as assigned.
  • 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.
  • Experience with encounters or claims business analysis experience in healthcare, preferably managed care or Medicaid.
  • Knowledge of Amisys or other claims system, HIPAA transactions (i.e. 837, 999, 824, 277) and SQL Scripting preferred.
  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field or office work schedules
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