Data Analyst IV, Healthcare Analytics, Medical Economics

🕒 May 31

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• 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.

🎯 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. • 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.

🏖️ Benefits

• 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