Business Analyst II (Medical Billing/Coding)

Company: Corporate
Location: Pompano Beach
Posted on: March 11, 2023

Job Description:

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function

--- 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
--- Identify ways to enhance performance management and operational reports related to new business implementation processes
--- Develop and incorporate organizational best practices into business applications
--- Lead problem solving and coordination efforts between various business units
--- Assist with formulating and updating departmental policies and procedures

Education/Experience:
Bachelor's degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred.

Benefits and Payment Configuration
Compliance Coding/Prepay Compliance (Payment Integrity)
Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred.

Encounters:
Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 1+ years of managed care encounters experience. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Knowledge of claims and/or encounter processing and data analysis experience preferred. Understanding of HIPAA transactions (i.e. 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in SQL scripting preferred.

Provider Data:
Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis (documenting business process, gathering requirements) experience in healthcare industry and/or working in a data driven environment. Advanced knowledge of Microsoft Applications, including Excel, Project, and Visio preferred. Knowledge of data migration, software enhancement/planning, and Agile preferred.

Member & Provider Solutions
Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Advanced knowledge of Microsoft Applications, including Excel and Visio preferred. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: Corporate, Pompano Beach , Business Analyst II (Medical Billing/Coding), Accounting, Auditing , Pompano Beach, Florida