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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.

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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

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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

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Responsibilities

Job ID 1154164

Category Data Analytics
Schedule Full-time
Description:

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 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

  • Qualifications:


    Education/Experience:
    Bachelor’s degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. 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. 4+ 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. 4+ years of business process analysis (i.e. 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. 4+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 3+ 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.

    Medicare
    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 managed health care experience, preferably with Medicare. Experience working with and leading diverse teams in matrix managed environments. Advanced knowledge of Microsoft applications, including Excel and Access preferred. Project management experience preferred.

    Provider Data:
    Bachelor’s degree in related field or equivalent experience. 4+ 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 preferred. Knowledge of data migration, software enhancement/planning, and Agile preferred. Experience managing projects with a high reliance on technology.

    Member & Provider Solutions
    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 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.

    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.

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    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.

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    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

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    • Data Analytics, Clayton, Missouri, United StatesRemove

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