Business Analyst II (Medical Billing)

Centene; United States; Remote; USD 55,000 - 99,000; Full time

Job summary

An established industry player is seeking a detail-oriented analyst to drive business improvements through data analysis and process optimization. This role involves performing various analyses to align business objectives while supporting initiatives through user acceptance testing and problem-solving across departments. With a focus on enhancing operational reports and implementing best practices, this position offers the chance to make a significant impact on the organization’s efficiency and effectiveness. If you are passionate about using data to drive change in the healthcare sector, this opportunity is perfect for you.

Qualifications

• 2-4 years in business process or data analysis, preferably in healthcare.
• Experience in claims payment/analysis and premium reconciliation.

Responsibilities

• Perform analysis to link business needs and objectives for the assigned function.
• Support business initiatives through data analysis and user acceptance testing.
• Lead problem solving and coordination efforts across business units.

Skills

Data Analysis

Business Process Improvement

Problem Solving

User Acceptance Testing

Education

Bachelor’s Degree in a Related Field

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.

Remote Available.

Position Purpose

Perform various analysis and interpretation to link business needs and objectives for the assigned function. Perform collections activity associated with all assigned accounts. Research, monitor, and collect routine aged receivables for delinquent accounts. Provide assistance to team members on daily processes and procedures.

• Support business initiatives through data analysis, identification of implementation barriers, and user acceptance testing of new systems.
• Identify and analyze user requirements, procedures, and problems to improve existing processes.
• Perform detailed analysis on projects, recommend business solutions, and assist with implementation.
• Enhance performance management and operational reports related to new business implementation processes.
• Develop and incorporate organizational best practices into business applications.
• Lead problem solving and coordination efforts across business units.
• Assist in formulating and updating departmental policies and procedures.
• Perform other duties as assigned.
• Comply with all policies and standards.

Education/Experience

Bachelor’s degree in a related field or equivalent experience. 2-4 years in business process or data analysis, preferably in healthcare. Experience in claims payment/analysis, premium reconciliation, or collections is preferred. Knowledge of managed care systems, benefits, pricing, contracting, claims, and provider reimbursement methodologies is advantageous. Structured testing experience is also preferred.

Pay Range: $55,100.00 - $99,000.00 per year