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Business Analyst II – Payment Integrity
Centene Corporation. Perform analysis and interpretation to link business needs and objectives for the assigned function .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in business process analysis and data interpretation to align business needs with objectives, particularly within the healthcare sector. Proficient in enhancing operational reports and implementing best practices to improve performance management.
Highest-signal resume keywords
Business Process AnalysisData AnalysisUser Acceptance TestingProject ManagementHealthcare Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data InterpretationProcess ImprovementPerformance ManagementImplementation SolutionsStructured Testing
Soft Skills
Problem-SolvingCoordinationCommunication
Tools & Technologies
Managed Care Information Systems
Industry Keywords
HealthcareClaims PaymentProvider Reimbursement MethodologiesBenefitsPricingContracting
About the role
Key responsibilities & impact- Perform analysis and interpretation to link business needs and objectives for the 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 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
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- Bachelor’s degree in related field or equivalent experience
- 2–4 years of business process or data analysis experience, preferably in healthcare
- For Payment Integrity: 2+ years of business process analysis, preferably healthcare, or claims payment/analysis experience
- Knowledge of managed care information systems preferred
- Experience in benefits, pricing, contracting or claims preferred
- Knowledge of provider reimbursement methodologies preferred
- Previous structured testing experience preferred
- Project management experience preferred
Benefits
Comp & perks- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Paid holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Equal opportunity employer committed to diversity