Centene Commercial Solutions

Product Performance Analyst III - Commercial

  • Centene Commercial Solutions
  • Remote
  • 24 days ago

Job Description

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, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

**Remote position with 10% travel**

Position Purpose: With the Ambetter Commercial (ACA) Product team, you will perform various analysis and interpretation to link business needs and objectives for assigned function.

  • Provide consulting support to ensure plan designs can be administered for all partners related to provider pricing, contract assessment & processes.
  • Assist in detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
  • Identify ways to enhance performance management and operational reports related to new business implementation processes
  • 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
  • Diagnose problems and identify opportunities for process redesign and improvement
  • Formulate and update departmental policies and procedures
  • Serve as the subject matter expert on the assigned function product to ensure operational performance.
  • Ability to travel

Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of business process or data analysis experience (i.e. documenting business process, gathering requirements), preferably in healthcare. Advanced knowledge of Microsoft Applications, including Excel and Access. Project management experience preferred.

Benefits and Payment Configuration: Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Working knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred.

Preferred Skills:

Ability to multi-task

Flexibility in deliverables

Able to Travel - 10%

SQL (Data Base)

Proficient in Microsoft Applications Word, Excel (Formula) and PowerPoint

Pay Range: $67,400.00 - $121,300.00 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. 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.

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