Claims Configuration & Integration Analyst - Hybrid/Remote

Centene Management Company LLC; New York (NY); Hybrid; USD 37,000 - 67,000; Full time

Job summary

Centene is seeking an Operations Configuration and Integration Analyst to create, update, and test system configuration tables supporting multi-state managed care claims adjudication.

The role involves analyzing configuration data, developing testing scenarios, and collaborating with IS teams to implement changes that improve automation and accuracy in claim processing. Experienced in automated medical claims is preferred.

Qualifications

• Bachelor’s Degree or an equivalent combination of education and experience in a managed care environment.
• Minimum two to three years experience in an automated medical claims environment and managed care/multiple product environment desired.
• Minimum one to two years experience in systems logic and testing desired.

Responsibilities

• Creates, updates, tests and maintains system configuration tables and files to support accurate claims adjudication.
• Analyzes and maintains configurable tables, files and software used in claim adjudication.
• Develops and executes testing scenarios and unit/end-user testing for configuration changes.
• Identifies opportunities to increase automation and resolve system deficiencies.
• Provides technical reference for translating system specifications and operations.

Education

Bachelor’s Degree or equivalent

Tools

MC400 editing

Macess imaging system

claims adjudication software

Job description

Centene is seeking an Operations Configuration and Integration Analyst to create, update, and test system configuration tables supporting multi-state managed care claims adjudication.

The role involves analyzing configuration data, developing testing scenarios, and collaborating with IS teams to implement changes that improve automation and accuracy in claim processing. Experienced in automated medical claims is preferred.