Job Description

Role Description

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.

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Remote role. Highly preferred that candidate has experience in Business Analysis, UAT, or Quality roles, as well as supporting integration testing and data/interface validation.
• Experience leading UAT execution, defect management, and readiness reporting.
• Proficient in Azure DevOps, JIRA, or ServiceNow is a plus.
• Strong facilitation and influencing skills.
• Utilization Management knowledge preferred; TruCare Classic and TruCare Cloud experience strongly desired (Care Central/Facets a plus).

The BA IV would also serve as a mentor and subject matter thought leader to BA II, BA III, and peer partners to ensure consistency in performance, quality, knowledge, and execution.

• Build/inform role-based learning journeys, training/precepting, provide recommendations for continuous process/automation improvement.
• Flexibility for periodic evening/weekend release work required; occasional travel may be needed.

Position Purpose:

• Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.
• Lead the support of business initiatives through data analysis, identification of implementation barriers, and user acceptance testing of various systems.
• Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes.
• Resolve issues and identify opportunities for process redesign and improvement.
• Perform detailed analysis on multiple projects, recommend potential business solutions, and ensure successful implementations, including improvements and revisions to business processes and requirements.
• Evaluate risks and concerns and communicate to management.
• Coordinate with various business units and departments in the development and delivery of training programs.
• Develop, share, and incorporate organizational best practices into business applications.
• Oversee all changes to departmental policies and procedures, including communicating and implementing the changes.
• Serve as the subject matter expert on the assigned function product to ensure operational performance.
• Ability to travel.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis.
• Advanced knowledge of Microsoft Applications, including Excel and Access preferred.
• Project management experience preferred.
• Previous structured testing experience preferred.
• Advanced knowledge of Microsoft Applications, including Excel, Project, and Visio preferred.
• Knowledge of data migration, software enhancement/planning, and Agile required.
• Experience managing large projects with a high reliance on technology.
• Product Management and SQL experience preferred.
• Deep understanding of managed care data including sourcing, analysis, and representation of data.
• Understanding of and experience in clinical documentation platforms.
• Advanced knowledge of Microsoft Applications, including Excel and PowerPoint preferred.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• 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.

Company Description

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.

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