Data Analyst III, Healthcare Analytics, Provider Analytics

🕒 Maio 28

🏰 Missouri – Remoto

🏰 Missouri – Remote

💵 $70.100 - $126.200 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

📉 Analista de Dados

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Centene Corporation

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1984

⚕️ Seguro de Saúde

🤝 Sem Fins Lucrativos

🌍 Impacto Social

Healthcare Insurance • Non-profit • Social Impact

Centene Corporation é uma provedora líder de serviços de saúde patrocinados pelo governo, especializada em oferecer soluções de saúde acessíveis e de alta qualidade. Há mais de 40 anos, a Centene tem se dedicado a transformar a saúde das comunidades, ampliando o acesso a Medicaid, Medicare e ao Health Insurance Marketplace, além de atender comunidades militares por meio do programa TRICARE. Como a maior organização de managed care do Medicaid e participante-chave no Marketplace, a Centene enfatiza a entrega de cuidados de saúde com foco local, combinada a parcerias sólidas com organizações sem fins lucrativos para atender às necessidades únicas de seus membros. A Centene também é comprometida com sustentabilidade corporativa e responsabilidade social, priorizando a gestão ambiental e a governança ética para promover o bem-estar das comunidades que atende.

Descrição

• 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 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 design, testing, and implementation of process enhancements and identify opportunities for automation. • Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers. • Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding environment. • Demonstrate ownership over projects and ask probing questions to understand business value of tasks. • Apply expertise in quantitative analysis and data mining to comprehend customer interaction with analytic products. • Partner cross-functionally at all levels of the organization and effectively communicate findings and insights to non-technical business partners. • Engage with customers and business partners to gather requirements and validate results. • Present data-driven insights and recommendations to internal and external stakeholders, incorporating feedback when required. • Provide technical guidance to junior analysts.

🎯 Requisitos

• Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. • 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.

🏖️ Benefícios

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules