Centene Corporation
Centene Corporation
Centene Corporation is a healthcare and insurance company focused on government-sponsored coverage and community health. Its services include Medicaid, Medicare, Health Insurance Marketplace plans, and TRICARE support for military communities. Centene combines localized care delivery with partnerships with nonprofit organizations to address the needs of the members it serves. The company also incorporates environmental responsibility and ethical governance into its approach to operating and supporting communities.

Payment Integrity Analyst II – Remote

Analyze healthcare claims, business processes, and requirements for Centene’s payment integrity initiatives. Support data analysis, system testing, reporting, and process improvement in a remote role.

Description

  • Analyze and interpret information to connect business needs with objectives for the assigned function
  • Support business initiatives with data analysis
  • Identify implementation obstacles and perform user acceptance testing for new systems
  • Review user requirements, procedures, and issues to improve existing processes
  • Conduct in-depth analysis for assigned projects
  • Recommend business solutions and support their implementation
  • Improve performance management and operational reporting for new business implementation processes
  • Apply organizational best practices within business applications
  • Lead problem-solving and coordination across business units
  • Help develop and maintain departmental policies and procedures
  • Complete additional duties as assigned
  • Follow all applicable policies and standards

Requirements

  • Bachelor’s degree in a related field or equivalent professional experience
  • At least two years of business process analysis experience, preferably in healthcare or claims payment and analysis
  • Payment integrity or healthcare claims auditing experience is preferred
  • Medical coding certification is preferred
  • Strong analytical and root cause analysis capabilities are preferred
  • Excel proficiency is preferred
  • Experience with ticketing systems is preferred
  • Knowledge of managed care information systems is preferred
  • Experience with benefits, pricing, contracting, or claims is preferred
  • Knowledge of provider reimbursement methodologies is preferred
  • Prior experience with structured testing is preferred
  • Ability to document business processes and collect requirements
  • Ability to comply with all policies and standards

Benefits

  • Competitive compensation
  • Health insurance
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Additional incentives may form part of total compensation
  • Equal opportunity employer with a commitment to diversity

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