Centene is seeking a Coding Business Analyst II to perform analysis and interpretation to align business needs with policy requirements for healthcare payments. The role includes detailed reviews of state-specific and corporate payment policies for compliance and governance, with emphasis on reviewing coding, reimbursement, and regulatory guidelines to ensure organizational compliance and payment integrity. You will develop, implement, and maintain payment policies, reimbursement methodologies, and claims editing logic to support accurate claims adjudication, and you will monitor, report on, and track regulatory, coding, and policy updates, ensuring timely communication of changes across impacted stakeholders. Support business initiatives through data analysis, identifying implementation barriers, and participating in user acceptance testing of new systems. Identify and analyze user requirements, procedures, and problems to improve existing processes, and lead problem solving and coordination between business units. Assist with formulating and updating departmental policies and procedures. Qualifications include a Bachelor's degree or equivalent experience, 2+ years of business process analysis (healthcare experience preferred), knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred, and knowledge of provider reimbursement methodologies preferred. Preferred qualifications include coding certification such as CPC, claims coding appeals or revenue cycle experience, and strong Excel skills. Applicants must be authoriz

Centene is seeking a Coding Business Analyst II to perform analysis and interpretation to align business needs with policy requirements for healthcare payments. The role includes detailed reviews of state-specific and corporate payment policies for compliance and governance, with emphasis on reviewing coding, reimbursement, and regulatory guidelines to ensure organizational compliance and payment integrity. You will develop, implement, and maintain payment policies, reimbursement methodologies, and claims editing logic to support accurate claims adjudication, and you will monitor, report on, and track regulatory, coding, and policy updates, ensuring timely communication of changes across impacted stakeholders. Support business initiatives through data analysis, identifying implementation barriers, and participating in user acceptance testing of new systems. Identify and analyze user requirements, procedures, and problems to improve existing processes, and lead problem solving and coordination between business units. Assist with formulating and updating departmental policies and procedures. Qualifications include a Bachelor's degree or equivalent experience, 2+ years of business process analysis (healthcare experience preferred), knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred, and knowledge of provider reimbursement methodologies preferred. Preferred qualifications include coding certification such as CPC, claims coding appeals or revenue cycle experience, and strong Excel skills. Applicants must be authoriz