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.
 

Position Purpose: Provides functional business knowledge and technical support to the business unit through developed and ad hoc analysis/reporting , as well as designing and programming new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Analyzes company functions, processes, and activities to improve computer-based business applications for the most effective use of money, materials, equipment, and people. Performs application/system design and implementation. Documents development requirements. Consults with end users to test and debug applications to meet client needs.

• Responsible for submitting any necessary clean up scripts (SQL) and validating the results.
• Responsible to configure source system (Xcelys – Claims processing system) – setting up members benefits and authorization requirements within Xcelys Claim processing system.
• 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.
• Supports, troubleshoots, and maintains systems and applications as required, optimizing performance, resolving problems, and providing timely follow-up on identified issues.
• Analyzes requirements, procedures, and problems to automate processing or to improve existing business systems.
• Creates multiuser, real-time, robust database solutions.
• Acts as content 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.
• 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 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 2+ years of experience in relevant programming to include SAS, SQL, VB.NET, or Oracle (or similar depending upon departmental requirements)
Required 3+ years of experience in related business analysis
Preferred 1+ year of experience in ASP/ASP.NET
 

Licenses and Certifications: A license in one of the following is preferred

SAS Certification

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