Business Analyst II - Payment Integrity

Centene Corporation; North Carolina; Hybrid; USD 56,000 - 101,000; Full time

Job summary

Centene Corporation is seeking a data-driven professional to support business initiatives through detailed analysis and testing of new systems. You will identify user requirements, analyze procedures, and suggest improvements to enhance efficiency across departments.

With 2–4 years in business process or data analysis, you will lead coordination across teams, help implement best practices, and ensure adherence to policies while contributing to healthcare outcomes and program success.

Qualifications

• Bachelor’s degree required or equivalent experience.
• 2–4 years of business process or data analysis experience.
• Healthcare setting preferred; project management experience beneficial.

Responsibilities

• Support business initiatives through data analysis and identification of implementation barriers.
• Identify and analyze user requirements, procedures and problems to improve processes.
• Perform detailed analysis on assigned projects and recommend solutions.
• Lead analysis to enhance performance management and operational reports for new implementations.
• Develop and incorporate organizational best practices into business applications.
• Coordinate with multiple business units to drive problem solving.
• Assist with formulating and updating departmental policies and procedures.
• Perform other duties as assigned.
• Comply with all policies and standards.

Skills

Data analysis

Business process analysis

Requirements gathering

User acceptance testing

Project coordination

Education

Bachelor’s degree or equivalent experience

Job description

Position Purpose:

• 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 assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to 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 between various business units
• Assist with formulating and updating departmental policies and procedures
• Performs other duties as assigned
• Complies 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

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

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.

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