Centene Corporation Business Systems Analyst (Electronic Data Interchange) in Chesterfield, Missouri

ProfessionalPosition Purpose: Design, build, test and maintain enablers of business processes, including technology and process solutions with a focus on medium complexity, multiple application business processes and/or business relationships

  • Contribute to the entire implementation process

  • Drive definition of improvements based on business needs and architectural improvements

  • Responsible for build, test, root cause analysis, and complex performance tuning

  • Consult with users to identify current operating procedures and to clarify program objectives

  • May be expected to write documentation to describe program development, logic, coding, and corrections. Write manuals for users to describe installation and operating procedures

Project Scope:

EDI Business System Analyst for EDI solution center (service desk)

Answer incoming calls from provider, health plans, and clearing houses.

Research rejections using EDI tools, looking at raw data and submission.

Use Amisys , transaction manager, FileNet.

Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 2+ years of related experience. Strong problem-solving, analytical, and communication skills are essential. Experience in 837p, 837I formats; ICD9, CPT and HCPCS codes; 835 electronic remits; 834 and demographics; electronic COB; Amisys Database preferred. Knowledge of Microsoft Office 2003 & 2007, Remedy Call Tracking experience, a plus.

Preferred Experience:

Strong Analytical Skills

EDI experience in Claims (835,837,270/271, 276/277, 834 transactions preferred)

Strong Communciation Skills

Ability to work independently

Strong Excel experience

Ability to write SQL queries

Background in Healthcare Industry

Centene is a n 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.

TITLE: Business Systems Analyst (Electronic Data Interchange)

LOCATION: Chesterfield, Missouri

REQNUMBER: 1114499

COMPANY: Information Technology

POSITION TYPE: Professional