Business Analyst I Value Realization, Claims, Excel

Centene Corporation is transforming the health of communities, aiming to enhance the lives of 28 million members. The role involves performing analysis to link business needs with objectives, particularly focusing on value realization analysis for medical claims initiatives and supporting business initiatives through data analysis.

Responsibilities:

• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Perform Value Realization analysis for medical claims initiatives leveraging the Planview tool and Excel to track and estimate savings by initiative
• Analyze Healthcare claims data to understand value and forecast future value
• 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
• Facilitate meetings and lead projects
• Performs other duties as assigned
• Complies with all policies and standards

Requirements:

• 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
• 0-2 years of business process analysis or data analysis experience
• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Perform Value Realization analysis for medical claims initiatives leveraging the Planview tool and Excel to track and estimate savings by initiative
• Analyze Healthcare claims data to understand value and forecast future value
• 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
• Facilitate meetings and lead projects
• Complies with all policies and standards
• Preferred Experience in Value Realization analysis and reporting related to healthcare affordability, Payment Integrity, Cost Containment, or medical cost optimization initiatives
• Preferred Experience using value realization tools (e.g., Planview or comparable portfolio/value tracking platforms)
• Preferred Experience with Healthcare Claims including medical, pharmacy, or ancillary claims
• Preferred Project management experience