You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Candidate must live near the Tampa, Fl office. This is a hybrid position.
Position Purpose: Under direct supervision, the Operations Analyst I tests changes to Enrollment systems and business processes. The Analyst assists in the design, development and implementation of test plans and scripts using detailed business requirements provided by senior team members. The Analyst performs preliminary analysis of testing results, suggesting potential causes for failure and potential changes to current business processes.
- Provides testing support for system upgrades and government-mandated change orders. Documents results of testing and steps performed.
- Works with appropriate business and technology leads to determine the acceptable range for test results and performance.
- Troubleshoots user-reported system defects and educates users on issues that are not true system defects. Analyzes true defects and follows up with senior team members to resolve.
- Gathers, evaluates, interprets, and analyzes data and business processes. Works closely with senior team members to develop new test scenarios to evaluate system defects and/or enhancements.
- Assists with the evaluation of 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 recommends changes to streamline operations and/or automate manual processes.
- Participates in projects that contribute to achievement of department objectives to be completed on time, within budget, and to documented requirements.
- Participates in developing project plans, test plans, implementation strategies, and post-implementation plans.
- Participates in reviewing business system requirements and scope and design documents.
- Performs other duties as assigned.
Education/Experience:
High School Diploma or equivalent. Experience in researching and analyzing data for the purpose of process improvement is preferred. One year of health plan or health insurance operations experience, including participating on project teams. Experience in Enrollment, billing and/or claims processing preferred. Experience using Excel at an advance level is highly preferred. Cash posting experience is preferred. Excellent written communication skills is preferred.
Pay Range: $18.66 - $31.73 per hour
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
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What We Do
Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.
