Senior BSA – Healthcare Payor (Remote)

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

Benefits offered by this job

competitive pay

health insurance

401K and stock purchase plans

tuition reimbursement

paid time off plus holidays

flexible work schedules

Job summary

Centene Corp. is seeking a Business Systems Analyst to translate complex business requirements into functional specs for Payment Integrity prepay and postpay solutions. You will partner with product, architecture, engineering, QA, and vendors, and maintain traceability in Jira/Confluence.

You will analyze claims data using SQL and reporting tools to support root-cause analysis and participate in Agile ceremonies. This role includes mentoring junior BSAs and ensuring standards are followed.

Qualifications

• 4-6+ years of business systems analysis experience in healthcare payer or related fields.
• Strong requirements discipline: BRDs, user stories, acceptance criteria, process and data-flow mapping, and requirements traceability.
• Hands-on data analysis skills (SQL) to validate data and troubleshoot issues.
• Experience with claims systems and vendor tools such as Facets, Amisys, and ClaimsXten.

Responsibilities

• Elicit, analyze, and document BRDs, user stories, and acceptance criteria.
• Translate business needs into clear, testable requirements and maintain traceability.
• Collaborate with Product Owners, Architects, Engineering, QA, and vendors to translate needs into requirements.
• Support test planning, UAT, and sign-off; guide business approvals of requirements.
• Mentor junior BSAs and promote consistent requirements standards.

Skills

BSA experience

Requirements discipline

SQL

Power BI

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 to translate complex business requirements into functional specs for Payment Integrity prepay and postpay solutions. You will partner with product, architecture, engineering, QA, and vendors, and maintain traceability in Jira/Confluence.

You will analyze claims data using SQL and reporting tools to support root-cause analysis and participate in Agile ceremonies. This role includes mentoring junior BSAs and ensuring standards are followed.