Submission for the position: Business Technical Analyst (Claims Review) - (Job Number: 1199347)
https://centene.taleo.net/careersection/jobdetail.ftl?job=1199347&lang=en
Business Technical Analyst (Claims Review)
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.
• 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.
Candidate Experience: Required A Bachelor's Degree in a related field or equivalent work experience. 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)
• Requires 2 years of experience in relevant programming to include SQL and SAS
• Requires strong experience in Reporting and Analytics (preferably in healthcare)
• 1 year of experience in Claims Review / Operations in Healthcare preferred
• Requires 3 years of experience in related business analysis (i.e. 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)
• Certifications in SQL and / or SAS are a plus
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.
Compliance
USA-Florida-Tampa
Schedule: Full-time Location(s): USA-Florida-Tampa