Business Analyst III Encounters Claims, EDI, SQL

Centene Corporation is a healthcare organization focused on improving access to care and health outcomes. The Business Analyst III will analyze business needs, healthcare encounters, claims, EDI transactions, and SQL data to support process improvements, reporting, system implementations, and operational performance.

Responsibilities:

• 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
• 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
• 4+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 3+ years of managed care encounters experience
• Experience with encounters or claims business analysis experience in healthcare
• Strong SQL writing and query development skills, including experience creating, optimizing, and maintaining database tables to support business reporting, data analysis, and operational decision-making strongly preferred
• Experience with healthcare encounters and EDI transactions, including data analysis, troubleshooting, reconciliation, and support of end-to-end business processes strongly preferred
• preferably managed care or Medicaid
• Knowledge of Amisys or other claims system, HIPAA transactions (i.e. 837, 999, 824, 277) and SQL scripting preferred