Data Analyst III, Healthcare Analytics, Provider Analytics

🕒 July 22

🏰 Missouri – Remote

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💵 $70.1k - $126.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data Analyst

👻 Ghost score 36%

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Logo of Centene Corporation

Centene Corporation

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 and influence business decisions • Collaborate with business stakeholders to identify value, develop solutions, and deliver insights to reduce cost of care and improve clinical outcomes • Measure and report the impact of contract and network changes against projected outcomes • Deliver standardized, structured reporting to track implementation accuracy and validate savings • 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 • 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 data review processes and variable tasks within targeted timelines • Apply quantitative analysis, data mining, and data presentation expertise • Partner cross-functionally and communicate findings to non-technical business partners • Engage with 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

• 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 • Healthcare analytics experience preferred • Master’s degree preferred • 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 including Microsoft PowerBI • 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

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • 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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