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Operations Analyst II
| Company | Centene |
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| Location | Florida, USA |
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| Salary | $55100 – $99000 |
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| Type | Full-Time |
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| Degrees | |
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| Experience Level | Mid Level |
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Requirements
- High School Diploma or equivalent
- Experience in researching and analyzing data for the purpose of process improvement is preferred
- Two years health plan or health insurance operations experience, including participating on project teams
- Experience in Enrollment, billing and/or claims processing preferred
Responsibilities
- 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
- Performs other duties as assigned
- Complies with all policies and standards
Preferred Qualifications
No preferred qualifications provided.
