Business Analyst IV – Claims Operations

Centene Corporation

. Perform and lead analysis and interpretation to link business needs and objectives for the assigned function .

Posted 11/2/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $87,700 - $157,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates advanced knowledge of healthcare claims operations and process improvement, with a strong ability to analyze data and implement effective business solutions. Proficient in coordinating training programs and communicating changes to enhance operational performance.

Highest-signal resume keywords

Healthcare Claims OperationsProcess Improvement ImplementationAdvanced Excel SkillsClaims Processing Systems ExperienceProject Management Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisBusiness Process AnalysisUser Acceptance TestingRisk EvaluationProcess RedesignRequirements IdentificationImplementation Barriers AnalysisOperational Performance ImprovementTraining Program DevelopmentPolicy and Procedure Oversight

Soft Skills

CommunicationProblem-SolvingCollaborationLeadership

Tools & Technologies

AmisysGoldenMicrosoft ExcelMicrosoft Access

Industry Keywords

HealthcareHEDIS AnalysisClaims Processing Workflows

About the role

Key responsibilities & impact

Perform and lead analysis and interpretation to link business needs and objectives for the assigned function
Implement process improvements
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
Resolve issues and identify opportunities for process redesign and improvement
Perform detailed analysis on multiple projects, recommend business solutions, and ensure successful implementations
Improve and revise business processes and requirements
Evaluate risks and concerns and communicate them to management
Coordinate with business units and departments to develop and deliver training programs
Develop, share, and incorporate organizational best practices into business applications
Oversee changes to departmental policies and procedures, including communicating and implementing changes
Serve as the subject matter expert on the assigned function product to ensure operational performance

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
Advanced knowledge of healthcare claims operations and claims processing workflows highly preferred
Experience working with claims processing systems, including Amisys and Golden
Demonstrated experience identifying and implementing process improvements within claims operations
Advanced Excel skills strongly preferred
Ability to travel
Bachelor’s degree in related field or equivalent experience
6+ years of business process or data analysis experience, preferably in healthcare, or 5+ years of HEDIS analysis
Advanced knowledge of Microsoft Applications, including Excel and Access preferred
Project management experience preferred

Benefits

Comp & perks

Health insurance
401K plan
Stock purchase plans
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