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Centene Corporation Senior Clinical Business Analyst in Bedford, Massachusetts

Casenet is an engineering driven company that helps improve the lives of millions of people. Our engineers create and deliver world class, enterprise software solutions for our customers who in turn are able to provide great healthcare to their clients via our TruCare platform. We are looking for talented people who can bring fresh ideas to all areas of our business. Our team is talented, energetic, and enthusiastic to create new solutions as we continue to grow.

The Senior Clinical Business Analyst role sits within the Casenet Client Success organization and works in collaboration with a Strategic Account Executive and dedicated team to support a National enterprise account. In this role you will work collaboratively with various levels of client clinical and operational staff to clarify needs, prioritize requests, and recommend workflow enhancements to maximize the value of Casenet Services and Solutions. The ability to understand the client health care delivery model, and provide clinically consultative insight to support client business challenges with the usage of technology, is a critical success factor.

Responsibilities:

  • Analyze client needs and business model and identify system and procedural solutions to enhance clinical practices and system usage.

  • Collaborate with client business subject matter experts, system configuration experts, and Utilization and Care Management professionals to identify needed process changes to ensure compliance with the use of Casenet technology to optimize care delivery processes.

  • Identify opportunities to leverage Casenet technologies in areas that improve and promote the client’s clinical agenda.

  • Perform gap analysis.

  • Conduct analysis sessions with client end user groups (clinical and non-clinical) to gather functional, stakeholder, and business requirements and use cases for product enhancements.

  • Collaborate with Casenet Product Development to validate business and functional requirements, perform assessment of client requirements, recommend workflow process improvements, and perform system testing.

  • Develop/maintain domain knowledge of best practices related to Care Management and Utilization Management

  • Lead consultative discussions and product demonstrations for the client.

  • Develop/maintain Casenet product functionality expertise by working with the Casenet Clinical, Professional Services and Product Management/Development teams.

  • Become a subject matter expert on TruCare Functionality.

  • Provide application support to client business users and work with internal team members to resolve functional issues.

Success Factors:

  • Excellent interpersonal skills in order to establish/maintain positive working relationships and be regarded as a credible influencer.

  • Ability to demonstrate Casenet solutions in a confident manner.

  • Strong communication skills at the VP, Director, and business user level.

  • Strong analytic capability required to support consultative analysis.

  • Ability to work as part of a team, ability to work independently, ability to work in a fast paced environment with changing priorities.

Education/Experience:

  • Bachelors Degree and 5+ years of experience in a position that requires participation in and knowledge of Care Management operations and regulations that affect clinical processes.

  • Licensed Registered Nurse (RN) required.

  • Experience as a business analyst in healthcare, insurance, or regulated industry.

  • Understanding of enterprise software systems a plus.

  • Microsoft Outlook, Microsoft Word, Microsoft PowerPoint, Microsoft Excel, Microsoft Visio Required.

    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.

TITLE: Senior Clinical Business Analyst

LOCATION: Bedford, Massachusetts

REQNUMBER: 1202519

COMPANY: Administrative & Operations support

POSITION TYPE: Both

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