Business Automation Analyst I

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: Analyzes, executes, and reviews bulk requests for claims automation, including validating eligibility for automation, to ensure accuracy of claims data upon project completion. Reviews, investigates, adjusts/resolves claims, claims appeals, inquiries, and payment inaccuracies. Provides day-to-day support for internal and external customers with automation questions/issues and escalated requests. Supports analysis and documentation activities under guidance, including basic data validation and process documentation.

• Execute bulk claims automation requests using established procedures; validate automation eligibility and results.
• Perform claims review, investigation, adjustment, and resolution for claims, appeals, inquiries, and payment discrepancies.
• Support automation maintenance activities (updates/config changes) with guidance; follow documented standards.
• Perform basic data validation and analysis (Excel and/or entry level SQL) to confirm automation outcomes and identify exceptions.
• Assist in documenting workflows, job aids, and process steps, capture notes for current state and proposed changes.
• Identified errors are corrected.
• Support requirements gathering by collecting inputs, clarifying operational needs, and documenting outcomes.
• Respond to automation questions/issues from internal and external customers; escalate appropriately.
• Participate in testing activities (UAT support, regression checks) and post implementation validation.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: High school diploma or equivalent required. 1–3 years of claims-related experience in claim processing, claims payment support, medical billing, or claims operations. Working knowledge of Microsoft Office applications (Excel, Word, Outlook). Automation tool experience (Macro Express) and technical aptitude preferred. Exposure to SQL (beginner) preferred or willingness to learn.

Core Skills:

• Claims processing fundamentals and attention to detail
• Basic analysis, validation, and exception handling
• Strong customer support and communication
• Process adherence and documentation support
• Intro automation knowledge (Coding experience preferred)

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