Clinical Analyst

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🔥 27 minutes ago

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Healthcare Insurance • Non-profit • Social Impact

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

• Responsible for analytic data needs of the business unit • Handles complex data projects and acts as a lead for other Data Analysts • Provide advanced analytical support for business operations in areas such as authorizations, claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting • Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources • Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management • Develop reports and deliverables for management • Model data using Power BI, MS Excel, Access, SQL, and/or other data warehouse analytical tools • Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis • Assist with training and mentoring other Data Analysts

🎯 Requirements

• Bachelor’s degree in related field or equivalent experience • 4+ years of statistical analysis or data analysis experience • Power BI experience, including building dashboards and data models from source data, strongly preferred • SQL coding experience with the ability to extract and validate data from source systems strongly preferred • Healthcare analytics experience, particularly with clinical or authorization related data, strongly preferred • Advanced Excel skills, including complex formulas, pivot tables, and data validation, strongly preferred • Demonstrated analytical and trend analysis skills with the ability to identify insights, issues, and opportunities for improvement, strongly preferred • Experience managing projects or heavy involvement in project implementation

🏖️ Benefits

• 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

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