Payment Integrity Specialist - Governance

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.
 

• Drive assessment of customer requirements against baseline system offerings to identify and document fits versus gaps
• Work with implementation team to recommend business process improvements that minimize potential application changes
• Perform system demonstrations to customer subject matter experts in support of workflow and product alignment review efforts
• Develop and maintain test plans, conduct system testing, and document results for system process improvements
• Participate in creating training collateral to train super users on product interface
• Collaborate with business sponsors and Casenet program management to define and manage the scope, requirements analysis and implementation of projects
• Gather and document workflow and business requirements by guiding clients through their workflow processes in alignment with product capability
• Elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, task and workflow analysis
• Use Casenet GUI software tools to design workflows, screens, fields based on gathered business requirements
• Lead client through functional, integration, and user acceptance testing processes
• Collaborate with project manager and resource managers to identify areas to maximize Casenet opportunity

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