Data Analyst III – Healthcare Analytics

🔥 1 hour ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📉 Data Analyst

👻 Ghost score 0%

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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 key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care and improve clinical outcomes • Manage provider data and increase data quality • Provide targeted data to reduce claims rejections and denials • Identify improvements to reduce regulatory reporting errors during submissions to State • Provide targeted reporting for operational effectiveness and monitoring • Interpret and analyze claims, provider, member, and encounters data • Identify and assess the 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 designing, testing, and implementing process enhancements • Identify opportunities for automation • 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 within targeted timelines • Apply quantitative analysis, data mining, and data presentation expertise to understand customer interactions with analytic products • Partner cross-functionally at all organizational levels • Communicate and present data-driven insights and recommendations to internal and external stakeholders • Independently engage with customers and business partners to gather requirements and validate results • Provide technical guidance to junior analysts

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • 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 • Working knowledge of SQL/querying languages • Preferred knowledge of programmatic coding languages such as Python and R • Preferred knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis • Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI • Healthcare analytics experience preferred • SAS, Python and AI experience preferred • Experience managing provider data and increasing data quality preferred • Ability to provide targeted data to reduce claims rejections and denials • Ability to identify improvements to reduce regulatory reporting errors during submissions to State • Ability to interpret and analyze data from claims, provider, member, and encounters data • Ability to develop, maintain, and troubleshoot complex scripts and reports using SQL, Microsoft Excel, or other analytics tools • Ability to contribute to large-scale projects with limited direction from leadership • Ability to perform root-cause analysis of data irregularities and present findings and proposed solutions • Ability to manage multiple variable tasks and data review processes with limited supervision • Ability to apply quantitative analysis, data mining, and data presentation expertise • Ability to communicate findings and insights to non-technical business partners verbally and visually • Ability to independently engage with customers and business partners to gather requirements and validate results • Ability to provide technical guidance to junior analysts

🏖️ 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 • Additional forms of incentives may be included in total compensation

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