Remote Senior Business Systems Analyst - Payment Integrity
Centene Management Company LLC
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Benefits offered by this job
Job summary
Centene Corp. is seeking a Senior Business Systems Analyst to translate complex business requirements into comprehensive specifications for Payment Integrity solutions.
You will collaborate with Product Owners, Architects, Engineering, QA and vendor partners to ensure clear, testable requirements and traceability across BRDs and user stories. You will analyze claims, vendor data, and system integrations, supporting UAT and test planning while mentoring junior BSAs and maintaining alignment with
Qualifications
- 4–6+ years of business systems analysis in healthcare payer or Payment Integrity.
- Strong knowledge of claims adjudication, CPT/HCPCS, ICD-10, NCCI; experience with Facets, Amisys, ClaimsXten, Cotiviti or Machinify preferred.
- Excellent BRD, user story, acceptance criteria, process and data-flow discipline.
- Hands-on data analysis using SQL; Power BI/Excel to validate data and troubleshoot issues.
Responsibilities
- Translate complex business requirements into functional and non‑functional specifications for Payment Integrity prepay and postpay solutions.
- Collaborate with Product Owners, Architects, Engineering, QA, and vendors to ensure clear, testable requirements and traceability.
- Participate in Agile ceremonies; keep backlog items ready and support UAT/test planning; mentor junior BSAs.
Skills
Education
Tools
Job description
Centene Corp. is seeking a Senior Business Systems Analyst to translate complex business requirements into comprehensive specifications for Payment Integrity solutions.
You will collaborate with Product Owners, Architects, Engineering, QA and vendor partners to ensure clear, testable requirements and traceability across BRDs and user stories. You will analyze claims, vendor data, and system integrations, supporting UAT and test planning while mentoring junior BSAs and maintaining alignment with
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