Job Description
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Provides in-depth business knowledge and advanced technical support to one or more business areas through developed and ad hoc analysis/reporting , as well as designing and programming complex, new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Performs application/system design and implementation. Documents development requirements. Consults with end users to test and debug applications to meet client needs.
- Develops ad-hoc reports to conduct data analysis and validation.
- Confers with area/department to analyze current operational procedures and trends and identify problems.
- Conducts business analysis and recommends technical alternative solutions to management as to course of action that best meets the organization's goals.
- Research, evaluate and assess the financial impact of issues identified in data/processes.
- Analyzes requirements, procedures, and problems to automate processing or to improve existing business systems.
- Creates multiuser, real-time, robust database solutions.
- Acts as subject matter expert to provide business and technical expertise in requirements solicitation, system analysis, technical design, programming and documentation of business applications/systems.
- May be responsible for monitoring and reporting to management on the status of departmental projects: Anticipates and identifies issues that could inhibit achieving the project goals and objectives, and implementing corrective actions and mitigation strategies.
- Provides oversight and resolves complex issues, optimizing performance, resolving problems, and providing timely follow-up on identified issues.
- Provides guidance and training to staff on process, procedures and issue resolution.
- Performs other duties as assigned.
- Complies with all policies and standards
Education/Experience: Required A Bachelor's Degree in a related field: Required or equivalent work experience in technical data analysis, conducting system analysis meetings, developing system design documents, developing project plans with achievable milestones and deadlines, and mediating different department demands to gain approvals on system scope and design.
Preferred Other a Master's degree in a related field, i.e., Mathematics, Computer Science, etc may be considered in lieu of some of the required experience (not to exceed 2 years)
Candidate Experience: Preferred 1+ year of experience in Healthcare
Required 4+ years of experience in relevant programming to include SAS, SQL, or Oracle (or similar depending upon departmental requirements)
Required 3+ years of experience in related business analysis
Preferred Skills: - Experience with R, SAS, Python, Databricks, AI/machine learning, AWS
- Experience with claim adjudication systems and data extraction processes
Pay Range: $86,000.00 - $154,700.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Job Tags
Holiday work, Work experience placement, Remote job, Flexible hours,