Centene is looking to analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions, to reduce 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 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, risk adjustment for government sponsored healthcare desired
- Experience working with large databases, data verification, and data management
Responsibilities
- Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data
- Support execution of large-scale projects with limited direction from leadership
- Identify and 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 with limited supervision within targeted timelines
- Support the design, testing, and implementation of process enhancements and identify opportunities for automation
- Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products
- Independently engage with customers and business partners to gather requirements and validate results
Other
- Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience
- 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience
- Healthcare analytics experience preferred
- Competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules
- Must be eligible to work in the US
