Lead Business Systems Analyst

Position Purpose:

Lead the analysis, design, and delivery of business and system requirements for Payment Integrity solutions in the EBP – Finance & Corporate Systems domain, including the PISCES Hub, and vendor integrations with core claims platforms (Amisys, Facets, Xcelys). Serve as the senior subject matter expert who connects business partners, Product, Architecture, Engineering, QA, and vendor partners to deliver solutions that improve payment accuracy, operational stability, and delivery predictability.

• Lead requirements elicitation, process mapping, and solution analysis for complex, cross-system Payment Integrity initiatives.
• Translate business needs into features, user stories, acceptance criteria, business rules, data mappings, and interface specifications.
• Perform data analysis (including SQL) to diagnose claim, recovery, and fallout issues and validate solution outcomes.
• Partner with Engineering and Architecture on solution design, integration patterns, and technical trade-offs.
• Drive test strategy and support SIT/UAT, defect triage, production readiness, and production support analysis.
• Mentor and review the work of other BSAs and vendor business analysts; promote consistent BSA standards and documentation.
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Technical Skills:

One or more of the following skills are desired.

• 5-7 years of AWS (Lambda, Glue)
• 5-7 years of Python coding language
• 5+ year of Kubernetes experience
• 5+ years of MongoDB Atlas experience

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