Business Analyst II - Payment Integrity
$56.2k - $101kCentene Corporation
Business Analyst II - Payment Integrity### Business Analyst II - Payment IntegrityApply: Remote-MO: Remote-GA: Remote-NC: Remote-TX: Remote-IL: Full time: Posted Yesterday: 1671294**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* Performs other duties as assigned* Complies with all policies and standards**Education/Experience:** Bachelor’s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. **Benefits and Payment Configuration:** **Compliance Coding/Prepay Compliance (Payment Integrity):** Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred.Pay Range: $56,200.00 - $101,000.00 per year **At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.** You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.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 #J-18808-Ljbffr
- ...Centene Corp. is seeking a Business Analyst II for Payment Integrity. This remote-friendly role analyzes data to link business needs with objectives, supports initiatives with testing and requirements gathering, and coordinates with multiple teams to improve processes....SuggestedRemote workFlexible hours
$81.7k - $143.1k
...This role eliminates that gap.As the Business Analyst II, Vendor Performance, you will build and... ...all vendors. Escalate and resolve data integrity defects.• Own the TOPS vendor... ...Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final...SuggestedContract workSeasonal workWorldwideFlexible hoursShift workNight shiftDay shift- ...Reference Number: 26-00877Title: Senior Quality Analyst (Kafka Pipeline, AWS setup, Data Pipelines, Python, Payment integrity)Posted Date: 2026-08-28Contact: Vishika... ...including metadata-driven workflows, dynamic business rules, and configurable integration frameworks...SuggestedContract workRemote work
$75k - $90k
...coding guidelines, pricing rules, and claim payment methodologies. The ideal candidate... ...medical claims, healthcare auditing, Payment Integrity, coding, claim quality review, or... ...professionals who are eager to influence business decisions. From your very first day, you...SuggestedContract workTraineeshipRemote work$63.5k - $93k
...thecompany, you’ll behelping provide protection and peace of mind when our customers need it most. Protective is seeking a Business Systems Analyst II to serve as a key liaison between business stakeholders and technology teams, helping to define, analyze, and deliver...SuggestedTemporary work- ...Oscar Health is hiring a Senior Analyst to join the Payment Integrity team. This role supports process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity translates...Remote work
- ...Mosaic Life Care, a health care system serving northwest Missouri, seeks a Payment Validation Analyst to ensure accurate payment from payors. The role reports to the Director of Revenue Integrity and focuses on resolving contractual underpayments, price discrepancies,...Remote work
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...Senior Data Analyst IIShape the analytics strategy behind... ...to solve complex business challenges, influence senior... ...a Senior Data Analyst II to be the senior... ...Develop advanced analyses integrating behavioral, financial,... ...any other discretionary payment or compensation or benefit...Casual workWork at officeRemote workFlexible hours- ...implementations and upgrades and are looking for a Senior Business Analyst with strong front-to-back office functional expertise . The... ...triage Validate data quality and ensure upstream/downstream integrity (reference data, market data, static data) Coordinate...Full time
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...Sales Operations Analyst II, AWSI Business Operations: FaaST Job ID: 10525803 | Amazon Web Services, Inc. About Do you want to shape how AWS... ...is listed below. Your Amazon package will include sign‑on payments and restricted stock units (RSUs). Final compensation will...Immediate startFlexible hours- ...Business Operations AnalystYou thrive on turning ambiguity into clear, scalable ways of... ...protecting the business.As a Business Operations Analyst in Dining & Lifestyle Operations, you... ...advice, small business loans and payment processing. We're proud to lead the U.S....Work visa
$60k - $74k
...Business Systems Analyst II - Contact Center Technology (Amazon Connect) We are seeking a Business Systems Analyst to join our Contact Center Technology team, which owns Amazon Connect for all ~30 of our call centers. The team migrated off Genesys to Amazon Connect roughly...Remote work- ...Mutual of Omaha Insurance Co. is seeking a Business Systems Analyst II for Contact Center Technology (Amazon Connect). You will partner with stakeholders to gather requirements, translate them into Connect configurations, and validate solutions through testing before handoff...Remote work
- ...Darize is seeking a Business Analyst to join our healthcare technology project focused on a pharma LIMS implementation. You will define requirements for customization, configuration, and system integration, translating source-to-target mappings and data flows. In this...
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...Senior Manager, Business Development – Samsung Wallet Samsung Wallet – Digital Ecosystem... ...platform where people store and access payment cards, travel documents, loyalty... ...commercial terms and data agreements to product integration requirements • Navigate complex multi-...Hourly payFull time$65k - $75k
UFP Industries seeks an Epicor Business Systems Analyst II to collaborate across departments, researching and developing processes that create efficiencies through Epicor ERP. Under the general direction of the BA Manager, you will translate user needs into Epicor configurations...- ...will be establishing and supporting configuration and design and standards. Primary responsibility is providing solutions to complex business problems, setting strategic decisions, interacting with top management, and latitude in decision-making. Specifically you will be...
- Business Data Analyst Role: Business Data Analyst Duration: 6 Months - (Possible Extension/Conversion... ...Excel Description Business Analyst II gathers, documents, and most importantly... .... Experience working on large data Integration projects Exceptional organizational skills...Work experience placementLocal areaRemote work
- ...Technical Support Specialist II, Accounting to make a real impact... ...Clubessential accounting, CE Payments, membership billing,... ...reporting, inventory, and supported integrations. Trace transactions and... ...degree in Accounting, Finance, Business Administration, or a related...Immediate startRemote workAfternoon shift
- ...Beech Grove, Indiana 46107 Franciscan Alliance Inc. seeks Business Intelligence Analyst II at its facility located at 1500 Albany St. Beech Grove,... ...well as statistical analysis system workflows and data integration processes. 10% Assist in projects and develop new reports...Work at officeLocal areaRemote work
- ...billion in revenue and are in the business services, consumer services,... ...Growth Solutions Fund II, a $1.1 billion non-control fund... ...We are looking for a Business Analyst to help us execute strategic... ...approach accelerates learning and integration into the firm. Meaningful...Full timeApprenticeshipWork experience placementInternshipWork at officeRemote workFlexible hours
$72.47k - $108.71k
...Description The Capacity Management Analyst II brings proficiency and innovation in applying knowledge of clinical and business requirements, with technical skills to implement... ...care to all who need it. Through the integration of its hospitals, labs, and schools, Mount...Full timeTraineeshipWork at officeLocal area$127.89k - $170.52k
...apply now.We are currently seeking a Business Analyst to join our team in New York City, New... ...Management, Transaction Banking, and Payments, along with hands-on experience working... ...impacts of system changes, upgrades, and integrations across upstream and downstream...Full timeTemporary workWork at officeRemote workFlexible hours$58 - $62 per hour
Business Analyst II with ServiceNow, Fraud & Compliance Focus (JN -092026-432045) Newport Beach, California Salary: USD58 - USD62 per hour Roth Staffing is looking for Business Systems Analyst with ServiceNow, SharePoint, compliance/risk programs, fraud investigations,...Hourly payWork at officeLocal areaRemote work$10k
...the transaction flow of every dollar a business spends. We automate how over $275B in annualized... ...out of 85,000+ companies: authorizing payments, flagging risk, categorizing spend, and... ...volumePaid media and ad platform integrations, including conversion trackingLead...Full timeWork at officeHome officeFlexible hours- ...of Specialist, Infrastructure Services Analyst to join our Technology team. This role is... ...initiatives requiring implementation or integration into our technology environment.Understands... ...(as well as any other discretionary payments or compensation programs) at any time, including...Full timeWork experience placementLocal areaWorldwideFlexible hours
$70k - $105.12k
...Description Job Description The Data Analyst II oversees activities related to data integrity, security and enhancement of the value of data. The Data Analyst II may direct the movement of data across multiple systems; oversee its validation and organization and make...TraineeshipWork experience placementLocal areaFlexible hours
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