Business Analyst II - Coding Defect Management & Resolution

Centene
Missouri, Georgia, Michigan, Pennsylvania, Florida, New York, North Carolina
Workplace: RemoteFull timeUSD 56,200 - 101,000 annuallyFunction: Business OperationsExperience: 2+ yearsEducation: bachelorsSkills: ["Problem-solving","Coordination","Analysis","Process improvement"]

Support healthcare business initiatives through data analysis, requirements gathering, and process improvement focused on claims coding defect management and resolution. You’ll research and resolve coding defects, identify implementation barriers, and support user acceptance testing for new systems. The role includes recommending business solutions, enhancing performance and operational reporting, and coordinating across business units while contributing to best practices, policies, and procedures.

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Centene
Centene
4 days ago

Business Analyst II - Coding Defect Management & Resolution

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Source: Company careers pageValidated by: Fursa AI
Last checked: 2 days agoStatus: Live

Job Summary

Support healthcare business initiatives through data analysis, requirements gathering, and process improvement focused on claims coding defect management and resolution. You’ll research and resolve coding defects, identify implementation barriers, and support user acceptance testing for new systems. The role includes recommending business solutions, enhancing performance and operational reporting, and coordinating across business units while contributing to best practices, policies, and procedures.
Location: Missouri, Georgia, Michigan, Pennsylvania, Florida, New York, North Carolina
Workplace: Remote
Employment Type: Full time
Job Function: Business Operations
Seniority: Mid level

Key Responsibilities

  • •Perform analysis to link business needs and objectives for assigned functions.
  • •Support business initiatives through data analysis, identifying implementation barriers, and assisting with user acceptance testing.
  • •Identify and analyze user requirements, procedures, and problems to improve existing processes.
  • •Conduct detailed analysis on assigned projects, recommend business solutions, and assist with implementation.
  • •Coordinate with various business units and help formulate and update departmental policies and procedures.

Pay and Benefits

Salary: USD 56,200 - 101,000 annually
Equity and Bonus:Equity
Perks:Health Insurance401kEquityPaid LeavePaid Holidays

Key Requirements

  • •Bachelor’s degree in a related field or equivalent experience.
  • •2+ years of business process analysis, preferably in healthcare or claims payment/analysis.
  • •Knowledge of managed care information systems and experience in benefits, pricing, contracting, or claims.
  • •Experience with coding defect research and resolution, with a claims coding background and payment integrity.
  • •Previous structured testing experience and knowledge of provider reimbursement methodologies preferred.
Experience:2+ yearsHealthcareClaimsManaged carePayment integrity
Education:Bachelor's
Skills:Problem-solvingCoordinationAnalysisProcess improvement
Tech Stack:ExcelCoding defect managementPayment integrityUser acceptance testingStructured testing

Eligibility

Work Authorization:Authorization required. Sponsorship not provided.

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn