Top 577 Health net Jobs

Coding Business Analyst II - Policy Review
Centene —Illinois
- $56,200 - $101,000 a year
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
1d
Senior Government Affairs Manager
Centene —Washington, DC
- $107,700 - $199,300 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Bachelor's degree
- Paid holidays
- Health insurance
Plan Chief Financial Officer
Meridian Illinois —Burr Ridge, IL
- $217,600 - $411,800 a year
- Full-time
- Hybrid work
- CPA
- Office
- Finance
- Paid holidays
- Health insurance
Community Resource Coordinator II
Centene Corporation —Kansas
- Full-time
- Mid-level
- High school diploma or GED
- Travel
- Paid holidays
- Health insurance
13d
Senior Clinical Review Nurse - Prior Authorization
Fidelis Care —New York, NY
- $30.58 - $55.09 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
11h
Coding Business Analyst II - Content Updates
Centene —Illinois
- $56,200 - $101,000 a year
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
1d
Coding Business Analyst II - Repository Updates
Centene —Missouri
- $56,200 - $101,000 a year
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
1d
Care Manager (LMSW)
Centene Corporation —Michigan
- Full-time
- LMFT
- Nursing
- RN License
- Paid holidays
- Health insurance
1d

Discover related jobs

Based on your search for health net jobs.

Associate Actuary
Centene —Oregon
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
$87,700 - $157,800 a year
Senior Government Affairs Manager
Centene —Washington, DC
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
$107,700 - $199,300 a year

I want to receive the latest job alert for health net

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

health net jobs near

Regulatory Affairs Manager jobs in Washington, DC

Care Manager jobs in Michigan

Senior Business Analyst jobs in Illinois

Recruiting Coordinator jobs in Kansas

Prior Authorization Specialist jobs in New York, NY

Automotive Sales Manager jobs in Los Angeles, CA

Regulatory Affairs Manager jobs in Exton, PA

Regulatory Affairs Manager jobs in Salt Lake City, UT

Regulatory Affairs Manager jobs in Jersey City, NJ

Part Time Case Manager jobs in Los Angeles, CA

Regulatory Compliance jobs in New York, NY

Care Manager jobs in Puyallup, WA

Construction Project Manager jobs in Portland, OR

Call Center Manager jobs in Las Vegas, NV

Care Manager jobs in Boston, MA

Care Manager jobs in Brandon, FL

Care Manager jobs in Boca Raton, FL

Remote Case Manager jobs in Florida

Weekly Pay Home Care jobs in Indianapolis, IN

Senior Business Analyst jobs in Aurora, CO

Coding Business Analyst II - Policy Review

Centene -
Illinois

Apply Now

Job Details

Full-time
$56,200 - $101,000 a year
1 day ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Policy analysis

Full 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.

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function.

Detailed reviews of both state specific and corporate Payment policies for Compliance and Governance ensuring policies are accurate and up to date with guidelines.
Review, analyze, and interpret coding, reimbursement, and regulatory guidelines to ensure organizational compliance and payment integrity.
Develop, implement, and maintain Payment Policies, reimbursement methodologies, and claims editing logic to support accurate claims adjudication.
Monitor, report on, and track regulatory, coding, and policy updates, ensuring timely implementation and communication of changes across impacted stakeholders.
Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems.
Identify and analyze user requirements, procedures, and problems to improve existing processes.
Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation.
Identify ways to enhance performance management and operational reports related to new business implementation processes.
Develop and incorporate organizational best practices into business applications.
Lead problem solving and coordination efforts between various business units.
Assist with formulating and updating departmental policies and procedures.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience: Bachelor’s degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred.

Preferred Qualifications: Coding certification such as a CPC or similar. Claims coding appeals or revenue cycle experience. Claims research experience. Excel skills with pivot tables and VLOOKUPs.

By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.

Pay Range: $56,200.00 - $101,000.00 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, 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

Apply Now

Refine Your Search

health net jobs

Coding Business Analyst II - Policy Review

Senior Government Affairs Manager

Plan Chief Financial Officer

Community Resource Coordinator II

Senior Clinical Review Nurse - Prior Authorization

Coding Business Analyst II - Content Updates

Coding Business Analyst II - Repository Updates

Care Manager (LMSW)

Discover related jobs

I want to receive the latest job alert for health net

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected