Business Analyst III, Appeals

Centene Corporation

. Perform analysis and interpretation to connect business needs and objectives across appeals operations .

Posted 10/9/2026full-timeRemote • United StatesMid-LevelSenior💰 $70,100 - $126,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in appeals processes, data analysis, and operational reporting, with a strong focus on compliance and process improvement. Proven ability to coordinate cross-functional training and implement best practices to enhance business performance.

Highest-signal resume keywords

Appeals ExperienceAdvanced Excel SkillsData AnalysisRoot Cause AnalysisProject Management Experience

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data ValidationOperational ReportingProcess ImprovementCompliance MonitoringBusiness Process Analysis

Soft Skills

Analytical SkillsProblem-Solving SkillsCommunication SkillsPresentation Skills

Industry Keywords

HealthcareAppeals ProcessesCompliance RequirementsPerformance ManagementUser Acceptance Testing

About the role

Key responsibilities & impact

Perform analysis and interpretation to connect business needs and objectives across appeals operations
Support business initiatives through appeals data analysis, validation, trending, 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, including root cause analysis and compliance monitoring
Recommend potential business solutions and ensure successful implementations
Identify ways to enhance performance management and operational reports across multiple markets, lines of business, and appeals service areas
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 and appeals reporting processes to ensure operational performance
Perform other duties as assigned
Comply with all policies and standards

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Appeals experience, including knowledge of appeals processes, compliance requirements, and appeals data is highly preferred
Advanced Excel skills
Experience working with large data sets, data validation, trending, operational reporting, and root cause analysis is highly preferred
Strong analytical, problem-solving, communication, and presentation skills is preferred
Remote within Central Time Zone preferred
Ability to travel
Bachelor’s degree in related field or equivalent experience
4-6 years of business process or data analysis experience, preferably in healthcare
Project management experience preferred

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plan
Tuition reimbursement
Paid time off plus 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