Business Analyst IV - Hospital Claims

Company: Corporate
Location: Florissant
Posted on: May 25, 2023

Job Description:

You could be the one who changes everything for our 26 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.*Applicants for this job have the flexibility to work remote from home anywhere in the United States Position Purpose: Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.* Lead the support of business initiatives through data analysis, identification of-- implementation barriers and user acceptance testing of various systems* Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes* Resolve issues and identify opportunities for process redesign and improvement* Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements* Evaluate risks and-- concerns and communicate to management* 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* Oversee all changes to departmental policies and procedures, including communicating and implementing the changes* Serve as the subject matter expert on the assigned function product to ensure operational performance* Understanding of reimbursement methodologies, claims life cycle, claims billing and coding* Optum Products experience highly desired* Ability to travelEducation/Experience:Bachelor's degree in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred.Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.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.

Keywords: Corporate, Florissant , Business Analyst IV - Hospital Claims, Healthcare , Florissant, Missouri