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    Business Analyst II - Des Moines, United States - Oklahoma Complete Health

    Oklahoma Complete Health
    Oklahoma Complete Health Des Moines, United States

    3 weeks ago

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    Description
    Business Analyst II (Payment Integrity) page is loaded

    Business Analyst II (Payment Integrity)

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    locations

    Remote-MO

    time type

    Full time

    posted on

    Posted Yesterday

    job requisition id

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.


    Position Purpose:
    Perform various analysis and interpretation to link business needs and objectives for 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 potential 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

    Education/Experience:
    Bachelor's degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred.

    Compliance Coding/Prepay Compliance (Payment Integrity):

    Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred.

    Pay Range:
    $54, $97,100.00 per year


    Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

    Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

    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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    Centene is committed to helping people live healthier lives.

    We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

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