Search jobs > Miami, FL > Analyst ii

Claims Business Analyst II

Sunshine State Health Plan
MIAMI, FL, United States
$54K-$97.1K a year
Full-time

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.

Qualified candidates must reside in Florida.

Position Purpose : Perform various analysis and interpretation to link business needs and objectives for assigned function.

  • Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems.
  • Identify and analyze user requirements, procedures, and problems to improve existing processes.
  • Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation.
  • Identify ways to enhance performance management and operational reports related to new business implementation processes.
  • Develop and incorporate organizational best practices into business applications.
  • Lead problem solving and coordination efforts between various business units.
  • Assist with formulating and updating departmental policies and procedures.

Encounters : Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 1+ years of managed care encounters experience.

Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Knowledge of claims and / or encounter processing and data analysis experience preferred.

Understanding of HIPAA transactions (i.e. 837, 999, 824, 277) preferred. Knowledge of managed care information systems and experience in SQL scripting preferred.

Pay Range : $54,000.00 - $97,100.00 per year

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.

Total compensation may also include additional forms of incentives.

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

12 hours ago
Related jobs
Promoted
Sunshine State Health Plan
Miami, Florida

Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems. Perform detailed analysis on assigned projects, recommend...

Promoted
Sunshine State Health Plan
Miami, Florida

Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems. Perform detailed analysis on assigned projects, recommend...

ClickJobs.io
Miami, Florida

Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems. Perform detailed analysis on assigned projects, recommend...

Promoted
Sunshine State Health Plan
Miami, Florida

Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems. Perform detailed analysis on assigned projects, recommend...

Royal Caribbean Group
Miami, Florida

Analyst II is a member of the Revenue Commercial Team. They will be the point person for sourcing and sales channel strategies designed to support the Sales, Marketing and Revenue Management efforts to manage the business. Assemble large, complex data sets that meet functional / non-functional busin...

Elevance Health
Miami, Florida

The Business Analyst II is responsible for translating basic business needs into application software requirements. Determines specific business application software requirements to address specific business needs. They are how we achieve our strategy, power our business outcomes and drive our share...

Covetrus
Florida
Remote

The Business Analyst II serves as a primary liaison between Technology Services and business end users. The Business Analyst II collaborates with the quality assurance and development team to ensure that they clearly understand the specifications to deliver quality products. Serves as Business Analy...

Princess Cruises
Miami, Florida

Minimum of 5 years’ experience in a software development business analyst role as well as experience delivering business systems solutions in an enterprise IT environment. We’re looking for an amazing Business Analyst to fill this hybrid role which can be based in Seattle, WA or Miami, FL. Here’s a ...

Royal Caribbean Group
Miami, Florida

The Royal Caribbean Group has an exciting career opportunity for a full-time Senior Business Analyst II reporting to the Commercial Strategy Manager. The Sr Analyst II uses technical knowledge to solve business problems by means of a systematic and disciplined approach employing software, hardware, ...

Promoted
Sunshine State Health Plan
Hialeah, Florida

Knowledge of claims and/or encounter processing and data analysis experience preferred. ...