Skip Navigation

Business Analyst IV

Centene Corporation Chesterfield, Missouri

As we work to improve health outcomes around the world, technology will play a key role. That’s why we’ve made major investments in cutting-edge technology – and in people like you. Here, you’ll work in a fast-paced industry with lots of room for growth and innovation. This is a technology operation few can match in scope and none can match in impact. If you’re ready to develop and deliver solutions that can help millions of people, join Centene.

Back to Job Navigation (Overview)

What does it take?

What are the qualities that will help you achieve success in this role at Centene?

Success Profile

  • Logical
  • Multi-tasker
  • Problem-solver
  • Team player
  • Independent
  • Digitally Savvy

Back to Job Navigation (Success)

Our Technology Roles

Information Technology Opportunities at Centene

Centene hires the best and brightest for our IT teams across the country. We have the enthusiasm and ambition of a start-up, with all the resources of a large company.

IT Manager

You’ll provide leadership, direction and strategic plans for project implementations while developing and managing large scale IT infrastructure operations.

Application Software Engineer

While creating and managing websites, applications and systems, you’ll install programs and design, build, and maintain custom-built technology solutions.

IT Architect

You’ll develop and implement processes for information management, while maintaining digital networks, providing technical assistance in resolving network issues, and modifying networks.

Data Analyst

Using a variety of skills like SQL, Excel, Microstrategy, and SAS/R, you'll analyze, interpret, and apply data from multiple sources that contribute to business development.

Business Analyst

Working in a highly collaborative environment, you’ll act as a liaison between stakeholders and the IT organization to support Centene’s systems and lead our healthcare transformation.

Back to Job Navigation (Our Technology Roles)

Responsibilities

Job ID 1151837

Category Data Analytics
Schedule Full-time
Description:

Position Purpose: Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.

  • Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems
  • Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes
  • Resolve issues and identify opportunities for process redesign and improvement
  • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
  • Evaluate risks and concerns and communicate to management
  • 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
  • Oversee all changes to departmental policies and procedures, including communicating and implementing the changes
  • Serve as the subject matter expert on the assigned function product to ensure operational performance
  • Leading enterprise level data and business process migration

  • Coordinating with internal and external partners
  • Qualifications:


    Education/Experience:
    Bachelor’s degree in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred.

    Benefits and Payment Configuration
    Bachelor’s degree in related field or equivalent experience. 6+ years of business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred.

    Compliance Coding/Prepay Compliance (Payment Integrity)
    Bachelor’s degree in related field or equivalent experience. 6+ 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.

    Encounters:
    Bachelor’s degree in related field or equivalent experience. 6+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 5+ years of managed care encounters experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Experience with encounters or claims business analysis experience in healthcare, preferably managed care or Medicaid. Knowledge of Amisys or other claims system, HIPAA transactions (i.e. 837, 999, 824, 277) and SQL Scripting preferred.

    Provider Data
    Bachelor’s degree in related field or equivalent experience. 6+ years of business process analysis (i.e. 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 preferred. Knowledge of data migration, software enhancement/planning, and Agile required. Experience managing large projects with a high reliance on technology. Product Management and SQL experience preferred.

    Member & Provider Solutions
    Bachelor’s degree in related field or equivalent experience. 6+ 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 preferred. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred.

    Risk Adjustment
    Bachelor’s degree in related field or equivalent experience. 6+ years of business process or data analysis experience, including business process definition and documentation and agile development, preferably in healthcare working in a data driven environment. Advanced knowledge of Microsoft Applications, including Excel, Access and Visio preferred. Experience managing large projects with a high reliance on technology. Project management experience preferred. Experience in claims and knowledge of risk adjusted revenue, member quality and provider reimbursement methodologies preferred.
    Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred. Product Management and SQL experience 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.

    Apply Now

    Check out this location

    See what's near our Chesterfield location.

    View Map

    Back to Job Navigation (Map)

    Quote

    “If challenge, innovation, working with new technologies, and career growth are what you’re looking for, this is the right place for you.”

    - Nasr Khan, Manager, Information Technology Infrastructure

    “I feel satisfied knowing that our data checks create a smoother process for our members. I also appreciate the various charity programs offered through our company to help the community such as the March of Dimes fundraiser.”

    - Richard DeMore, Data Analyst II, Enrollment

    Back to Job Navigation (Testimonials)

    Our Hiring Process

    Learn more about our hiring process and discover other helpful information for applicants.

    Learn More
    “This is the right place for you.”

    Nasr Khan

    Started as a Sr. Software Engineer, now he’s an IT Architect.

    See Nasr's career path

    Sign up for Job Alerts

    Join our Talent Network and get Centene news and job alerts delivered to your inbox.

    Areas of InterestSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

    • Data Analytics, Chesterfield, Missouri, United StatesRemove

    Back to Job Navigation (Job Alerts)

    Match Your Skills

    Let us search jobs for you based on the skills and experience listed in your LinkedIn Profile.

    Start Matching