Encounters Business Analyst IV SQL EDI

📋 Description

• • As a key member of the Centene Corporation team, you will play a pivotal role in transforming the health of our 28 million members by driving critical business initiatives through in-depth data analysis and process improvement.
• • This position offers a unique opportunity to leverage your analytical expertise to bridge the gap between complex business needs and actionable solutions, directly impacting the operational efficiency and effectiveness of our healthcare services.
• • You will lead the comprehensive support of various business initiatives, meticulously analyzing data to identify potential implementation barriers and ensuring the successful user acceptance testing of diverse systems.
• • A core responsibility will involve leading the identification and thorough analysis of user requirements, current procedures, and existing problems to architect and implement significant improvements to our business processes.
• • You will be instrumental in resolving complex issues and proactively identifying opportunities for process redesign and enhancement, ensuring that our operations remain agile and optimized.
• • This role demands the ability to perform detailed analysis across multiple concurrent projects, recommending potential business solutions that align with strategic objectives and overseeing their successful implementation.
• • This includes driving improvements and revisions to existing business processes and refining requirements to meet evolving business needs.
• • A crucial aspect of the role involves evaluating potential risks and concerns associated with proposed changes and effectively communicating these findings and recommendations to management.
• • You will coordinate closely with various business units and departments to develop and deliver comprehensive training programs, ensuring smooth adoption of new processes and systems.
• • As a subject matter expert on the assigned function's product, you will be responsible for ensuring optimal operational performance and providing guidance to stakeholders.
• • This role requires the ability to travel as needed to support business objectives and collaborate with teams across different locations.
• • You will contribute to the development, sharing, and incorporation of organizational best practices into our business applications, fostering a culture of continuous improvement.
• • You will oversee all changes to departmental policies and procedures, ensuring clear communication and effective implementation to maintain operational integrity.
• • The position requires a proactive approach to understanding and documenting business processes, gathering detailed requirements, and applying this knowledge within the healthcare industry, specifically in managed care encounters.
• • You will utilize advanced knowledge of Microsoft Applications, particularly Excel and Access, to perform complex data manipulation and analysis.
• • Experience with claims systems, understanding HIPAA transactions (such as 837, 999, 824, 277), and proficiency in SQL scripting will be essential for analyzing and manipulating encounter data.
• • Your work will directly contribute to Centene's mission of transforming the health of communities by ensuring the accuracy, efficiency, and compliance of our healthcare encounter data and processes.
• • This role is ideal for an analytical professional who thrives on problem-solving, process optimization, and making a tangible difference in the healthcare landscape.
• • You will be empowered to take ownership of projects, drive change, and contribute to the strategic direction of business operations at Centene.
• • The ability to translate complex technical and business requirements into clear, actionable plans is paramount.
• • You will act as a liaison between business stakeholders and technical teams, ensuring alignment and successful project outcomes.
• • This position offers a competitive salary range and comprehensive benefits, reflecting the importance of this role within the organization.
• • Embrace the opportunity to work remotely within Florida, contributing to a flexible and dynamic work environment.
• • Your expertise will be valued in a company dedicated to improving health outcomes for millions of individuals nationwide.
• • This role is critical in ensuring the integrity and efficiency of our data processing, which underpins our ability to serve our members effectively.
• • You will be at the forefront of identifying and implementing solutions that enhance member experience and operational excellence.
• • The scope of this role involves deep dives into business processes, identifying inefficiencies, and proposing data-driven solutions.
• • You will be a key player in ensuring compliance with healthcare regulations and industry standards through meticulous analysis and process management.
• • This is a challenging yet rewarding opportunity for a seasoned Business Analyst to make a significant impact within a leading healthcare organization.