Business Analyst III Encounters Claims, EDI, SQL

🌐 Remote💼 Full-time💰 $70,100–$70,100🗓 2026-09-22 → 2026-09-30

Core

Analyze healthcare claims and EDI data to support business reporting, operational decision-making, and process improvement for managed care and Medicaid functions.

Role type

Senior Business Analyst (Healthcare Claims & EDI)

Builds

Operational reports, process improvements, and system implementations for healthcare claims processing.

Domain

Healthcare / Managed Care / Medicaid / Claims Processing

Deliverable

dashboards & analysis

Required skills

SQL query development, healthcare encounters analysis, EDI transaction troubleshooting, business process analysis, user acceptance testing, requirements gathering, process redesign

Preferred skills

Amisys system knowledge, HIPAA transaction expertise (837, 999, 824, 277), managed care experience

Responsibilities

Support business initiatives through data analysis and UAT; Identify and analyze user requirements to improve processes; Perform detailed analysis and recommend business solutions; Enhance performance management and operational reports; Coordinate training program development; Diagnose problems and identify process improvement opportunities; Formulate and update departmental policies.

Seniority

Mid-Senior level (4+ years experience)

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About centene

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.