Business Analyst II – Coding

Centene Corporation

Business Analyst II handling payment integrity repository updates for U.S. healthcare organization.

Posted 7/20/2026full-timeRemote • Montana • 🇺🇸 United StatesJuniorMid-Level💰 $56,200 - $101,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in business process analysis and claims payment methodologies, with a strong focus on compliance and payment integrity in the healthcare sector. Proficient in data analysis, user acceptance testing, and the development of payment policies to enhance operational efficiency.

Highest-signal resume keywords

Business Process AnalysisClaims Payment AnalysisCoding Certification (CPC or Similar)Excel Skills (Pivot Tables, VLOOKUPs)Managed Care Information Systems

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Business Process AnalysisClaims Payment AnalysisData AnalysisPayment Policy DevelopmentReimbursement MethodologiesClaims Editing LogicUser Acceptance TestingRegulatory ComplianceCoding ResearchPerformance Management

Soft Skills

Problem SolvingCoordinationCommunication

Tools & Technologies

ExcelSmartsheet

Certifications & Qualifications

CPC Certification

Industry Keywords

HealthcarePayment IntegrityProvider Reimbursement MethodologiesManaged CareRegulatory Guidelines

About the role

Key responsibilities & impact

Perform various analysis and interpretation to link business needs and objectives for assigned function
Responsible for payment integrity repository updates and ensuring it remains up to date and accurate
Review, analyze, and interpret coding, reimbursement, and regulatory guidelines to ensure organizational compliance and payment integrity
Develop, implement, and maintain Payment Policies, reimbursement methodologies, and claims editing logic to support accurate claims adjudication
Monitor, report on, and track regulatory, coding, and policy updates, ensuring timely implementation and communication of changes across impacted stakeholders
Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
Identify and analyze user requirements, procedures, and problems to improve existing processes
Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
Identify ways to enhance performance management and operational reports related to new business implementation processes
Develop and incorporate organizational best practices into business applications
Lead problem solving and coordination efforts between various business units
Assist with formulating and updating departmental policies and procedures
Performs other duties as assigned
Complies with all policies and standards

Requirements

What you’ll need

Bachelor’s degree in related field or equivalent experience
2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience
Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred
Knowledge of provider reimbursement methodologies preferred
Previous structured testing experience preferred
Coding certification such as a CPC or similar preferred
Claims coding research experience preferred
Excel skills with pivot tables and VLOOKUPs preferred
Smartsheet experience preferred
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship

Benefits

Comp & perks

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