Benefit Configuration Business Analyst IV

Centene; United States; Remote; USD 86,000 - 155,000; Full time

Job summary

A leading healthcare organization is seeking a skilled analyst to enhance business processes and improve operational performance. You will leverage your expertise in claims and benefit configuration to lead data analysis initiatives, ensuring effective solutions are implemented across various departments. This role offers a flexible work environment and a comprehensive benefits package, making it an exciting opportunity for those looking to make a significant impact in healthcare.

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, preferably in healthcare.
• Experience in benefits, pricing, contracting or claims.

Responsibilities

• Lead support of business initiatives through data analysis and user acceptance testing.
• Resolve issues and identify opportunities for process redesign.

Skills

Claims / Benefit Configuration

Data Analysis

Process Improvement

Education

Bachelor’s degree in related field

Tools

Microsoft Excel

Microsoft Access

Job 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.

* Candidates must have a strong background with claims / benefit configuration*

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
• 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.

Benefits and Payment Configuration: Bachelor’s degree in related field or equivalent experience. 6+ years of business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience 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 a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act