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Business Analyst II
Ref No.: 16-07128
Location: Westmont, Illinois
Position Purpose: 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 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
Qualifications:

Education/Experience:
Bachelor's degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access. Project management experience preferred.

Benefits and Payment Configuration

Compliance Coding/Prepay Compliance (Payment Integrity)
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. Advanced knowledge of Microsoft Applications, including Excel and Access. 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.

Encounters:
Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 1+ years of managed care encounters experience. Advanced knowledge of Microsoft Applications, including Excel and Access. Knowledge of claims and/or encounter processing and data analysis experience preferred. Understanding of HIPAA transactions (i.e. 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in SQL scripting preferred.


Provider Data:
Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis (documenting business process, gathering requirements) experience in healthcare industry and/or working in a data driven environment. Advanced knowledge of Microsoft Applications, including Excel, Project, and Visio. Knowledge of data migration, software enhancement/planning, and Agile preferred.

Member & Provider Solutions
Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Advanced knowledge of Microsoft Applications, including Excel and Visio. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Employee Status:
Regular
Job Level:
Staff
Job Type:
Regular
More Information About the Job
Is Relocation Available?
Yes, nationwide
Are you open to sponsorship?
No
Are there flexible work hours?
Yes
Is there a possibility to work remote?
No
This position is:
New Position
Is there a bonus structure?
6%
Is there equity?
No
Who does this position report to?
Director
Does this position have direct reports?
No
What are the 3-4 non-negotiable requirements on this position?
Bachelor's degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access. Project management experience preferred. Knowledge of claims and/or encounter processing and data analysis experience preferred. Understanding of HIPAA transactions (i.e. 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in SQL scripting preferred.
What are the nice-to-have skills?
1+ years of managed care encounters experience. Advanced knowledge of Microsoft Applications, including Excel and Access. Benefits and Payment Configuration Encounters Provider Data Member & Provider Solutions
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