Benefit Configuration Business Analyst IV

Centene Corporation; South Carolina; Remote; USD 86,000 - 155,000; Full time

Job summary

Join a leading healthcare organization as a Benefit Configuration Business Analyst IV. You will analyze and improve processes, support business initiatives, and serve as a subject matter expert. The role offers a comprehensive benefits package and competitive pay, with opportunities for remote or hybrid work.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 6+ years of business process or data analysis experience.
• Experience in healthcare or 5+ years of HEDIS analysis.

Responsibilities

• Lead data analysis and user acceptance testing.
• Identify and analyze user requirements for process improvement.
• Coordinate training programs across business units.

Skills

Claims

Benefit Configuration

Data Analysis

Process Improvement

Education

Bachelor’s degree in a related field

Tools

Microsoft Excel

Microsoft Access

Job description

Benefit Configuration Business Analyst IV

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Benefit Configuration Business Analyst IV

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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.

• Candidates must have a strong background with claims / benefit configuration.

Position Purpose

Perform and lead various analyses and interpretations to link business needs and objectives for the 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.
• Ability to travel.

Education/Experience

Bachelor’s degree in a 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 is also preferred.

Benefits and Payment Configuration

Same requirements as above, emphasizing experience in benefits, pricing, contracting, claims, and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems is preferred. Previous structured testing experience is also preferred.

Pay Range: $86,000.00 - $154,700.00 per year.

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work schedules (remote, hybrid, field, or office). Actual pay will be adjusted based on skills, experience, education, and other factors. Total compensation may include additional incentives.

Additional Information

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Applicants with arrest or conviction records will be considered in accordance with applicable laws.

Additional Details

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Research, Analyst, and Information Technology
• Industries: Hospitals, Healthcare, and Insurance

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