About Us HIGHLIGHTS Location: Fully remote, working equipment provided Required Experience: - Writing and optimizing complex SQL queries to obtain and prepare data for managed care rate modeling - Building and maintaining rate models within the Power BI environment, leveraging SQL‑driven datasets Perks: 2.5% annual bonus opportunity, Medical/Dental/Vision Benefits, 401K matching up to 4%, PTO plan, tuition reimbursement, and more! We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros. Position Overview This role collaborates closely with the Vice President of Managed Care to support the company and its joint venture hospital partners. Key responsibilities include managing contract databases, interpreting critical contract terms, developing and automating payer contract models, validating data, conducting financial analysis, ensuring federal price transparency compliance, and contributing to annual budgeting and month-end close processes. The position also provides support to Revenue Cycle and Revenue Recognition teams on payer-related issues and contract disputes, while assisting other departments as needed. The ideal candidate is a proactive self-starter who thrives in a dynamic, fast-paced environment. They possess strong analytical and modeling skills, excellent communication and listening abilities, and a keen intellectual curiosity to identify opportunities for improving departmental efficiency and enhancing company revenue. Essential Job Functions - Serve as the managed care liaison and subject matter expert for joint venture hospital partners, revenue cycle billing and collections teams, and finance department leaders. - Compile and analyze payer performance metrics for reporting to organizational leadership. - Maintains up-to-date managed care contract databases to streamline collections, support analysis, and share contract terms efficiently. - Assist the revenue cycle team by loading and maintaining current payer rates in an insured allowed/payment validation module. - Perform random audits of claim payments to ensure payer compliance with managed care agreements. - Support special projects, including claim data analysis for contract negotiations, service line research, and pro formas for new market opportunities. - Build contract models to assess current performance yields and evaluate new contract proposals. - Collaborate with the revenue cycle team to identify underpaid/overpaid claims and develop initiatives to secure accurate payments. - Provide managed care insights and contract modeling (e.g., rate escalators, charge master updates, new contract yields) to support the finance team’s annual budget process. - Aid the revenue recognition team during month-end close by offering managed care perspectives on key revenue-influencing items. - Ensure compliance with federal and state price transparency regulations by preparing and maintaining required files. - Represent managed care in joint venture board meetings or monthly operational reviews as required. - Conduct financial data analysis and respond to internal/external inquiries from management. Other Job Functions - Provide clear explanations and actionable recommendations on managed care topics. - Contribute to cross-functional projects with Finance, Operations, Revenue Cycle, and Business Development, delivering ad-hoc analysis as needed. - Attend required staff meetings, company-sponsored events, or mandated gatherings. - Take ownership of personal professional development. - Perform additional duties as assigned. Basic Qualifications - Bachelor’s degree in Finance, Accounting, Business Administration, or equivalent experience required. - Minimum of 3 years of healthcare experience preferred, with deep knowledge of hospital payment methodologies and health plan contracting processes. - Proven ability to build financial and statistical models, analyze data, and drive actionable results. - Excellent organizational, written, and verbal communication skills. - Advanced Microsoft Excel modeling skills (required); proficiency in Word, PowerPoint, and Outlook (essential). - Ability to write efficient queries for data retrieval, filtering, and manipulation using SQL - Intermediate knowledge of data preparation and visualization techniques using PowerBI - Strong analytical and problem-solving capabilities. - Comfortable working in a fast-paced environment with minimal supervision. - Ability to meet deadlines while managing multiple projects and delivering high-quality work. - Detail-oriented with a strategic, big-picture mindset.

• Leads the integration, conforming, profiling and mapping of complex data • Leads quality assurance oversight (data error detection and correction) • Reviews more complex data to optimize the efficiency and quality of the data being collected • Identifies and resolves complex data quality problems • Collaborates with the business and ETL database developers to improve systems and database designs • Leads the work to interpret and analyze complex data from multiple sources including claims, provider, member, and encounters data • Proactively identifies and assesses the business impact of trends • Leads the development, execution, maintenance, and troubleshooting of complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools • Oversees the root-cause analysis of data irregularities and implements approved solutions • Leads multiple complex and variable tasks and data review processes with no supervision within targeted timelines • Provides leadership in a demanding, quickly changing environment • Leads the delivery of business solution architecture and implementation validation • Leads the efforts of data profiling and source to target mapping • Applies advanced expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers • Supports multiple functions and levels of the organization • Effectively communicates findings and insights to non-technical business partners • Engages with customers and business partners to gather requirements and validate results • Presents data-driven insights and recommendations to both internal and external stakeholders • Performs other duties as assigned • Complies with all policies and standards

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals 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: Integrates, conforms, profiles and maps data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines moderately complex data to optimize the efficiency and quality of the data being collected, resolves data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. - Execute end-to-end onboarding for new supplemental data sources, including secure transfer setup (sFTP), intake/transfer ticket submissions, and cross-team coordination. - Analyze existing supplemental source setups using Snowflake; identify trends, gaps, and improvement opportunities. - Manage relationships with assigned markets and provider partners; serve as a point of contact for supplemental data submission support. - Interprets and analyzes data from multiple sources including claims, provider, member, and encounters data. Identifies and assesses the business impact of trends - Develops, executes, maintains, and troubleshoots moderately complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools - Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers - Manages multiple intermediate, variable tasks and data review processes with limited supervision within targeted timelines and thrives in a demanding, quickly changing environment - Provides business solution architecture and implementation validation - Engages in data profiling and source to target mapping - Works on moderately complex data integration from disparate sources - Applies expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products - Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners - Engages with customers and business partners to gather requirements and validate results - Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required - Performs other duties as assigned - Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: - One or more of the following skills are desired. - Experience with Big Data; Data Processing - Experience with Data Manipulation; Data Mining - Experience with Agile Software Development - Proven ability to write SQL to extract and analyze data in Snowflake preferred - Intermediate Excel skills (e.g., filtering, pivots, lookups) to support analysis and reporting preferred - Strong analytical skills with the ability to draw conclusions from data and make recommendations preferred Soft Skills: - Intermediate - Seeks to acquire knowledge of HEDIS, clinical quality and supplemental data - Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions - Intermediate - Ability to work independently - Strong verbal and written communication skills; able to present information and respond professionally to questions from cross-functional departments and external partners. 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: $63,600.00 - $114,600.00 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

• Ensures intake, delivery and quality of data from customers • Investigates and resolves data inconsistencies or discrepancies and communicates findings to the appropriate staff • Design and perform database queries to meet internal and external analytical needs • Discuss requirements, issues and future enhancements and provide recommendations for improvement and written documentation that relate to the analysis of the customer data • Proactively monitors incoming data for trends • Provides support in the preparation and analysis of various reports • Excellent analytical skills, involving determination of root cause, issue size/impact and prioritization • Support all facets of the business in data analysis and critical ad hoc reporting • Add to a growing suite of enterprise class BI dashboards, for use both internally and externally • Data validation, developing new tests to ensure data is coming across cleanly and efficiently • Analyze and interpret complex data, coordinating with internal and external stakeholders