Coding Business Analyst II – Content Updates

Centene Corporation

Business Analyst II role at Centene focusing on claims coding accuracy and compliance. Responsible for analysis, policy maintenance, and operational reporting within healthcare processes.

Posted 7/20/2026full-timeRemote • Arizona, Illinois, Missouri, Montana, North Carolina • 🇺🇸 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, reimbursement policies, and operational efficiency. Proficient in data analysis and user acceptance testing to support business initiatives and enhance performance management.

Highest-signal resume keywords

Business Process AnalysisClaims Payment AnalysisCoding Certification (CPC or Similar)Excel Skills (Pivot Tables, VLOOKUPs)Regulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Business Process AnalysisClaims Payment AnalysisReimbursement MethodologiesCoding AppealsClaims ResearchData AnalysisUser Acceptance TestingPolicy DevelopmentOperational ReportingProcess Improvement

Soft Skills

Problem SolvingCoordinationCommunication

Tools & Technologies

Managed Care Information SystemsExcel

Certifications & Qualifications

CPC Certification

Industry Keywords

HealthcareClaims CodingRegulatory GuidelinesPayment IntegrityBenefitsPricingContracting

About the role

Key responsibilities & impact

Perform various analysis and interpretation to link business needs and objectives for assigned function
Ensuring our internal claims coding editors remain accurate, up to date, and compliant
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

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
Claims coding appeals and auditing experience
Claims research experience
Excel skills with pivot tables and VLOOKUPs

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