Centene is transforming the health of its communities, and this role will analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions to reduce the overall cost of care for members and improve their clinical outcomes.
Requirements
- Working knowledge of SQL/query 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 with emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation
- Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired
Responsibilities
- Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data
- Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customer
- Support the design, testing, and implementation of process enhancements and identify opportunities for automation
- Manage multiple, variable tasks and data review processes under direct supervision within targeted timelines
- Support execution of large-scale projects with limited direction from leadership
- Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners
Other
- Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.
- 0-2 years of experience in working with large databases, data verification, and data management.
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
- Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
