Business Analyst I Value Realization, Claims, Excel

You could be the one who changes everything for our 28 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.
 

Remote Available.

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

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

• Perform Value Realization analysis for medical claims initiatives leveraging the Planview tool and Excel to track and estimate savings by initiative.

• Analyze Healthcare claims data to understand value and forecast future value.

• 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.

• Facilitate meetings and lead projects.

• Performs other duties as assigned.

• Complies with all policies and standards.

Education/Experience:
Bachelor’s degree in related field or equivalent experience. 0-2 years of business process analysis or data analysis experience.

Preferred Skills:

• Preferred: Experience in Value Realization analysis and reporting related to healthcare affordability, Payment Integrity, Cost Containment, or medical cost optimization initiatives. 
• Preferred: Experience using value realization tools (e.g., Planview or comparable portfolio/value tracking platforms).
• Preferred: Experience with Healthcare Claims including medical, pharmacy, or ancillary claims.
• Preferred: Project management experience.

By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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