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Senior Facets Product Configuration and Integration Analyst

Fidelis Care Getzville, New York, Latham, New York,

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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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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Responsibilities

Job ID 1174314
Additional Locations Choose One,United States,US;Latham,New York,US
Category Information Technology
Schedule Full-time
Description:
Position Purpose:

Gather requirements and develop specification documents
Analyze, interpret, load, test and maintain configurable tables
Edit files and software that are utilized to support claim adjudication which includes, but is not limited to, claim adjudication rules edits, benefit plan support, and provider reimbursement rules
Assist in development and execution of testing scenarios and test conditions
Perform unit and/or end user testing for new configuration, programming enhancements, new benefit designs, new provider contracts, and software changes as necessary that affect claim adjudication rules
Proactively identify opportunities and recommend system solutions that increase automation, resolve system deficiencies and enhance claims processing and reporting to meet and exceed business requirements
Research and resolve claim problems or issues that are configuration related in a timely and accurate manner
Develop system queries to determine the scope of the problem and recommends possible solutions to management
Interact and coordinate system programming changes and schedules as necessary with the IS Business Analysts and Programmers
Assist with training new and existing staff
Qualifications:
Create, update, test and maintain system configuration tables and files to support accurate claims adjudication in a multiple product, multiple state and managed care environment. Act as a liaison with specified user areas to define business requirements and processes for project deployment. Analyze information and develop specification documents to support updating, testing and maintaining configuration tables in the claims adjudication system. This role supports both product, benefit, and pricing in NYS for managed care, Medicare and Exchange Products.

Education/Experience:
Bachelor’s Degree in Computer Science or related area or equivalent experience. 3+ years’ experience in an automated medical claims environment and managed care/multiple product environment and 2+ years’ experience in systems logic and testing is preferred. Experience with Facets, NetworX, SQL and Microsoft Office is a plus.

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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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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Our Hiring Process

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

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“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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