Data Analyst III – Healthcare Analytics

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $70.1k - $126.2k / 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 that impacts business decisions • Collaborate with business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce cost of care and improve clinical outcomes • Interpret and analyze claims, provider, member, and encounters data • Identify and assess the business impact of trends • Develop, maintain, and troubleshoot complex SQL, Microsoft Excel, and analytics-tool scripts and reports • Contribute to planning and execution of large-scale projects with limited leadership direction • Assist in designing, testing, and implementing process enhancements and identify automation opportunities • Perform root-cause analysis of data irregularities and present findings and proposed solutions • Manage multiple variable tasks and data review processes within targeted timelines • Apply quantitative analysis, data mining, and data presentation expertise to understand customer interactions with analytic products • Partner cross-functionally and communicate findings and insights to non-technical business partners • Engage customers and business partners to gather requirements and validate results • Present data-driven insights and recommendations to internal and external stakeholders • Provide technical guidance to junior analysts

🎯 Requirements

• 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 • Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future • Working knowledge of SQL/querying languages • Preferred knowledge of 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 business intelligence and visualization tools, including Microsoft Power BI • 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, and risk adjustment for government-sponsored healthcare desired • Healthcare analytics experience preferred

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Potential additional forms of incentives