Operations Analyst II

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Position Purpose: Under direct supervision, the Operations Analyst II researches and analyzes enrollment data and/or business processes to develop and implement process improvements while acquiring a more advanced skill set for designing and implementing strategic solutions.

  • Gathers, evaluates, interprets, and analyzes data and business processes, or develops test scenarios to evaluate system defects. Presents information, recommendations and alternatives to facilitate management understanding of results and impact. Produces reports or file extracts for data analysis.
  • Evaluates Enrollment department policies and procedures and recommends changes to improve the overall productivity and quality of department systems. Identifies opportunities to improve system processes and recommend changes to streamline operations and/or automate manual processes. At times, may assume responsibility for data integrity among various internal groups and/or between internal and external sources.
  • Participates in projects that contribute to achievement of department objectives. Projects will be completed on-time, within budget, and according to established objectives and documented requirements.
  • Participates in developing project plans, test plans, implementation strategies, and post implementation plans. Provides business function support for system upgrades and Government-mandated change orders.
  • Prepares status reports and/or issue resolution to internal associates and/or external resources.
  • Participates in developing and reviewing business system requirements and scope and design documents.
  • Troubleshoots user-reported system defects and educates users on issues that are not true-system defects. Analyzes true defects and follows up with applicable subcontractor to resolve.
  • Interfaces with internal associates and external resources, including Subcontractors and Government entities, to gather information and implement solutions.

    Participates in projects to identify and document business requirements, implement new technology, research and resolve business issues, and plan and develop systems implementation tactics, including project and test plan input.



Qualifications:

Education/Experience: High School diploma or equivalent; undergraduate coursework in Business, Management Information Systems, Computer Science or a related field. Minimum two years health plan or health insurance operations experience, including participating on project team

Experience in Enrollment, billing and/or claims processing a plu

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.

More Information on Centene Corporation
Centene Corporation operates in the Healthtech industry. The company is located in Saint Louis, MO, Smyrna, GA, Columbus, GA and Sunrise, FL. Centene Corporation was founded in 1984. It has 19002 total employees. It offers perks and benefits such as Flexible Spending Account (FSA), Disability insurance, Dental insurance, Vision insurance, Health insurance and Life insurance. To see all 20 open jobs at Centene Corporation, click here.
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