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, youll have access to competitive benefits including a fresh perspective on workplace flexibility. **This is a fully remote role. Candidates may reside anywhere within the continental U.S. Experience with Duals programs, Medicare and Medicaid is preferred. 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 Education/Experience: Enterprise PHCO Utilization/Care Management: Bachelors degree in related field or equivalent experience. 6+ years of business process analysis, deep understanding of managed care/utilization management 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. Pay Range: $86,000.00 - $154,700.00 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, 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 Thanks for your interest in Centene and its subsidiary companies. Were so glad that youve decided to fill out an application and take the next step to find your purpose. Also, were here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.
