HEDIS Reporting Business Analyst II
Centene Corporation
Business Analyst III, Provider Billing
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $68,700 - $123,700 per year
Job Level
Mid-LevelSenior
Tech Stack
SQL
About the role
- Perform various analysis and interpretation to link business needs and objectives for assigned function
- Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
- Identify and analyze user requirements, procedures, and problems to improve existing processes
- Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
- Identify ways to enhance performance management and operational reports related to new business implementation processes
- Coordinate with various business units and departments in the development and delivery of training programs
- Develop, share, and incorporate organizational best practices into business applications
- Diagnose problems and identify opportunities for process redesign and improvement
- Formulate and update departmental policies and procedures
- Serve as the subject matter expert on the assigned function product to ensure operational performance
- Ability to travel
- Performs other duties as assigned
- Complies with all policies and standards
Requirements
- Bachelor’s degree in related field or equivalent experience
- 4+ years of business process analysis (i.e. documenting business process, gathering requirements)
- Experience in healthcare industry, preferably with managed care techniques and administrative philosophy
- Experience in claims coding analysis or medical claim review/research preferred
- Knowledge of Amisys claims payment system and Business Objects preferred
- SQL and TruCare experience preferred
- Experience evaluating provider billing entries and making recommendations on best course of action
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
business process analysisdata analysisuser acceptance testingclaims coding analysismedical claim reviewSQLTruCareAmisys claims payment systemBusiness Objectsperformance management
Soft skills
problem-solvingcommunicationcollaborationorganizational skillstraining developmentpolicy formulationprocess improvementsubject matter expertiseanalytical thinkingadaptability
Certifications
Bachelor’s degree
