Company

Centene Corporation

Description

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.

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 travel

Education/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. Hands on experience with Claims Configuration and Claims Adjudication systems, highly 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.

Identifier

a713b832406a2280291b7d66017c26e3