Remote Senior Payments & Data Systems Analyst

Centene Corp.; Alabama; Hybrid; USD 87,000 - 161,000; Full time

Benefits offered by this job

Remote or hybrid work options

Tuition reimbursement

401K and stock purchase plans

Paid time off plus holidays

Job summary

Centene Corp is seeking a Business Systems Analyst in the United States to translate complex business requirements into functional specifications for Payment Integrity prepay and postpay solutions, including vendor editors and claims-system integrations.

You will collaborate with Product Owners, Architects, Engineering, and QA, maintain traceability in Jira/Confluence, conduct data analysis with SQL, and support UAT and production issue investigations.

Qualifications

• 4–6+ years of business systems analysis experience, preferably in healthcare payer, claims, or Payment Integrity / FWA environments.
• Working knowledge of claims adjudication and coding concepts; experience with vendor editors is a strong plus.
• Strong requirements discipline: BRDs, user stories, acceptance criteria, process and data-flow mapping, and requirements traceability.
• Hands-on data analysis skills (SQL required; Power BI/Excel preferred) to validate data and troubleshoot issues.

Responsibilities

• Elicit, analyze, and document business requirements for Payment Integrity prepay and postpay solutions.
• Partner with Product Owners, Architects, Engineering, QA, and vendors to translate needs into testable requirements with traceability.
• Participate in Agile ceremonies, keep backlog items ready, and support UAT coordination.
• Analyze claims and vendor data to investigate issues and support root-cause analysis for production defects.
• Map current- and future-state processes and data flows, including vendor feeds and write-back patterns.

Skills

Business systems analysis

SQL

Power BI

Excel

Agile SDLC

Education

Bachelor's degree in quantitative or business field

Tools

Facets

Amisys

ClaimsXten

Cotiviti

Machinify

Job description

Centene Corp is seeking a Business Systems Analyst in the United States to translate complex business requirements into functional specifications for Payment Integrity prepay and postpay solutions, including vendor editors and claims-system integrations.

You will collaborate with Product Owners, Architects, Engineering, and QA, maintain traceability in Jira/Confluence, conduct data analysis with SQL, and support UAT and production issue investigations.