Centene Corporation is seeking to improve healthcare outcomes by analyzing integrated and extensive datasets to extract actionable insights that influence business decisions, specifically cost reduction strategies and clinical outcomes for its members.
Requirements
- Proficiency in SQL/query languages
- Knowledge of programmatic coding languages such as Python and R is preferred
- Understanding of statistical, analytical, or data mining techniques including data modeling, trend analysis, and root-cause analysis
- Experience with modern business intelligence and visualization tools
- Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, or ROI evaluation is advantageous
- Familiarity with claims payment processes, utilization management, provider/vendor contracts, and risk adjustment for government-sponsored healthcare is a plus
- Healthcare analytics experience preferred
Responsibilities
- Analyze integrated datasets to identify trends, patterns, and insights that support strategic decision-making
- Collaborate with stakeholders to define data requirements and develop solutions that enhance operational efficiency
- Support the execution of large-scale projects with limited guidance from leadership
- Perform root-cause analysis on data irregularities and present findings along with recommended solutions to leadership and clients
- Manage multiple data review processes and tasks within targeted timelines with minimal supervision
- Design, test, and implement process improvements, including automation opportunities
- Apply quantitative analysis, data mining, and visualization techniques to interpret data beyond numbers and understand customer interactions
Other
- Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or a related field
- Minimum of 2+ years experience working with large databases, data verification, and data management
- 1+ years of IT experience preferred
- Must be able to communicate insights effectively across organizational levels, tailoring presentations for technical and non-technical audiences
- Must be able to engage independently with customers and business partners to gather requirements and validate analytical results
