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Centene Corporation is a Fortune 500, mission-driven healthcare leader committed to transforming the health of the communities we service, one person at a time. Through our local m
Data Analyst III, Healthcare Analytics, Provider Analytics
Location
Missouri
Posted
6 days ago
Salary
$70.1K - $126.2K / year
Seniority
Senior
Job Description
Data Analyst III, Healthcare Analytics, Provider Analytics
Centene Corporation
• Analyze integrated and extensive datasets to extract value, impacting business decisions • Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve clinical outcomes • Focus on enterprise provider analytics to measure and report the actual impact of contract and network changes against projected outcomes • Deliver standardized, structured reporting to track implementation accuracy and validate savings • Interpret and analyze data from multiple sources including claims, provider, member, and encounters data • Identify and assess the business impact of trends • Develop, maintain, and troubleshoot complex scripts and reports using SQL, Microsoft Excel, or other analytics tools • Contribute to planning and execution of large-scale projects with limited direction from leadership • Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation • Identify and perform root-cause analysis of data irregularities and present findings to leadership and/or customers • Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines • Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks • Communicate and present data-driven insights and recommendations to stakeholders
Job Requirements
- Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience
- Master's degree preferred
- 4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience
- Healthcare analytics experience preferred
- Working knowledge of SQL/querying languages
- Preferred knowledge of programmatic coding languages such as Python and R
- Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred
- Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI
- Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred
- Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired
Benefits
- competitive pay
- health insurance
- 401K
- stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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