Claims Business Solutions Architect

2 weeks ago

Madison, Wisconsin, United States Centene Corporation Full time
Job Title: Claims Business Solutions Developer III

Join Centene Corporation, a leading healthcare company, as a Claims Business Solutions Developer III. In this role, you will have the opportunity to make a significant impact on the lives of our 28 million members by developing innovative solutions to complex claims configuration and provider data challenges.

Job Summary:

We are seeking a highly skilled and experienced Claims Business Solutions Developer III to join our team. As a key member of our business solutions development team, you will be responsible for planning, conceptualizing, configuring, and building solutions that solve claims configuration and provider data challenges within the business using technological tools or programs.

Key Responsibilities:
  • Conduct research and requirement gathering to determine customer needs and drive strategy and oversee the development process from an operational perspective.
  • Act as a subject matter expert providing advice, support, and guidance as needed and serve as a mentor to colleagues.
  • Provide solutions to provider data and claims configuration challenges such as new implementations and process improvements.
  • Design workflows showing current state versus future state.
  • Write code for software programs and applications, working with classes, using inheritance and virtualization, and following best programming practices.
  • Perform complex research and advanced analysis; find/create best solutions to stakeholder requests or problems; identify the best method or tool to develop solutions.
  • Collaborate with and mentor peers on development and solution strategy; regular code reviews and pull requests; team partnership to identify efficient and effective scalable product solutions.
  • Lead and facilitate meetings to conduct requirements gathering; maintain communication with stakeholders during solution development.
Requirements:
  • Bachelor's degree in Computer Science, MIS, related field, or equivalent experience.
  • 4+ years of experience in the field or in a related area.
  • Completion of a technical training program (e.g., LaunchCode, FDM, etc.) may be considered in lieu of a bachelor's degree.
  • Healthcare experience a plus.
  • Experience with one or more of the following: SQL, Claims Configuration, Provider Data, Visio or other process workflow software.
What We Offer:

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. Total compensation may also include additional forms of incentives.

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.

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