Business Analyst II - Payment Integrity

Centene Corporation; Kansas City (MO); Hybrid; USD 56,000 - 101,000; Full time

Job summary

Centene Corporation seeks a business analyst to link business needs with objectives across functions, using data insights to drive improvements in healthcare processes.

You will identify requirements, coordinate testing of new systems, and support policy updates while collaborating with multiple teams to deliver practical solutions that enhance performance and efficiency.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 2-4 years of business process or data analysis experience, preferably in healthcare.
• Project management experience preferred.

Responsibilities

• Link business needs and objectives for assigned function.
• Analyze data to support initiatives and identify implementation barriers.
• Coordinate user acceptance testing of new systems.
• Identify requirements, procedures, and problems to improve processes.
• Lead problem solving between business units.
• Develop and update departmental policies and procedures.
• Complies with policies and standards.

Skills

Data analysis

Requirements gathering

Business process analysis

Project coordination

Education

Bachelor's degree or equivalent experience

Job description

Position Purpose:

Perform various analysis and interpretation to link business needs and objectives for assigned function.

Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systemsIdentify and analyze user requirements, procedures, and problems to improve existing processesPerform detailed analysis on assigned projects, recommend potential business solutions and assist with implementationIdentify ways to enhance performance management and operational reports related to new business implementation processesDevelop and incorporate organizational best practices into business applicationsLead problem solving and coordination efforts between various business unitsAssist with formulating and updating departmental policies and proceduresPerforms other duties as assignedComplies with all policies and standards

Education/Experience:

Bachelor’s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred.

Benefits and Payment Configuration:Compliance Coding/Prepay Compliance (Payment Integrity):

Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred.

Pay Range: $56,200.00 - $101,000.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.

You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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