Business Analyst III – Encounters, Claims, EDI, SQL

Centene Corporation

. Support business initiatives through data analysis, identification of implementation barriers, and user acceptance testing of various systems .

Posted 9/21/2026full-timeRemote • Missouri • 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 business process analysis within the healthcare industry, focusing on user requirements, operational performance, and process improvement. Proficient in SQL for data analysis and familiar with healthcare encounters and claims systems.

Highest-signal resume keywords

Business Process AnalysisSQL WritingHealthcare Encounters ExperienceClaims Business AnalysisKnowledge of HIPAA Transactions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisUser Acceptance TestingProcess RedesignDatabase Table MaintenanceSQL Scripting

Soft Skills

Problem SolvingCollaborationCommunication

Tools & Technologies

AmisysEDI Transactions

Industry Keywords

HealthcareManaged CareMedicaidOperational ReportsPerformance Management

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

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
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
Bachelor’s degree in related field or equivalent experience
4+ years of business process analysis experience in healthcare industry or 3+ years of managed care encounters experience
Experience with encounters or claims business analysis experience in healthcare, preferably managed care or Medicaid
Strong SQL writing and query development skills preferred
Experience creating, optimizing, and maintaining database tables preferred
Experience with healthcare encounters and EDI transactions, including data analysis, troubleshooting, reconciliation, and support of end-to-end business processes preferred
Knowledge of Amisys or other claims system preferred
Knowledge of HIPAA transactions, including 837, 999, 824, and 277, preferred
SQL scripting 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