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Centene Corporation
Centene Corporation
AsigurăriAsistență medicalăConsultanță
Centene Corporation este o companie de servicii medicale și asigurări axată pe acoperirea finanțată de guvern și pe sănătatea comunităților. Serviciile sale includ Medicaid, Medicare, planuri din cadrul pieței asigurărilor de sănătate și sprijin TRICARE pentru comunitățile militare. Centene combină furnizarea localizată de servicii medicale cu parteneriatele cu organizații nonprofit pentru a răspunde nevoilor membrilor pe care îi deservește. Compania integrează, de asemenea, responsabilitatea față de mediu și guvernanța etică în modul său de operare și de sprijinire a comunităților.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiFLFloridaMIMichiganMOMissouriNCCarolina de NordTXTexas
56.200 $ – 101.000 $ / an
RemoteNormă întreagăJuniorNivel mediuLimbă Obligatorie: englezăAnalist

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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

Locuri de muncă similare

Terumo Medical Corporation

Region Manager, Terumo Interventional Systems Sales

Terumo Medical Corporation
1.001 – 5.000 Angajați
Sponsor pentru viza H1BAsistență medicalăConsultanțăIndustria prelucrătoare
USStatele Unite ale AmericiiNJNew Jersey
120.000 $ – 165.000 $ / an
La sediuNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăManager

Lead medical device sales across a North Central New Jersey region, managing field teams and hospital relationships. Drive regional revenue, sales performance, and compliant promotion of Terumo Interventional Systems products.

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