Business Analyst III - CARC, RARC - Remote

Overview

As a Business Analyst III at Centene, you will play a crucial role in transforming the health of communities by linking business needs and objectives through detailed analysis and process improvement in the healthcare sector.

In Short

• Perform analysis to align business needs with objectives.
• Manage the ticketing process for claim explanation codes.
• Support business initiatives through data analysis and user testing.
• Identify user requirements and improve existing processes.
• Recommend business solutions for multiple projects.
• Enhance performance management and operational reports.
• Coordinate training program development and delivery.
• Serve as a subject matter expert on assigned functions.
• Formulate and update departmental policies and procedures.
• Comply with all policies and standards.

Requirements

• Bachelor’s degree in a related field or equivalent experience.
• 4-6 years of business process or data analysis experience, preferably in healthcare.
• Project management experience preferred.
• Experience with claim explanation codes preferred.
• Prior experience with CARC and RARC codes is highly preferred.
• Familiarity with CAQH is a plus.

Benefits

• Competitive pay and comprehensive benefits package.
• Health insurance and 401K options.
• Tuition reimbursement and paid time off.
• Flexible work schedules including remote options.
• Commitment to diversity and equal opportunity employment.