Data Analyst IV, Healthcare Analytics, Medical Economics

🕒 6 dias atrás

🚗 Michigan – Remoto

🚗 Michigan – Remote

💵 $87.700 - $157.800 / 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, which directly impacts and influences 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 their clinical outcomes. • This Data Analyst IV's work focuses on analyzing and running complex reports, understanding financial drivers and cost trends, and applying insights to optimize medical spend while maintaining quality of care. • Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data. • Lead the planning and execution of large-scale projects and new reporting tools, translating business goals into actionable solutions. • Identify and resolve data, process, and technical issues and communicate root-cause with stakeholders as appropriate. • Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners. • Independently engage with business leaders to understand market-specific levers and constraints. • Leverage enterprise reporting tools to rapidly deliver data-driven insights and recommendations. • Research key business problems and proactively identify opportunities for cost and utilization improvements through quantitative analysis. • Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required. • Mentor junior analysts on analytic best practices and business need fulfilment. • Delegate tasks to junior analysts, providing guidance and validation where required. • Performs other duties as assigned. Complies with all policies and standards.

🎯 Requisitos

• 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. • 5+ years of experience working with large databases, data verification, and data management or 3+ years IT experience. • Healthcare analytics experience preferred. • Experience with table creation and indexing, query optimization, and utilization of stored procedures. • 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. • 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.

🏖️ Benefícios

• 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