Data Analyst III (Healthcare Analytics/UM/Appeals)
Company: Corporate
Location: Florissant
Posted on: March 18, 2023
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Job Description:
You could be the one who changes everything for our 26 million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, national organization, you'll
have access to competitive benefits including a fresh perspective
on workplace flexibility.
Position Purpose: Analyze integrated and extensive datasets to
extract value, which directly impacts and influences business
decisions. Work collaboratively with key business stakeholders to
identify areas of value, develop solutions, and deliver insights to
reduce overall cost of care for members and improve their clinical
outcomes.
Applicants for this job have the flexibility to work remote from
home, preferred locations EST or CST timezone
Interpret and analyze data from multiple sources including
healthcare provider, member/patient, and third-party data.
Contribute to the planning and execution of large-scale projects
with limited direction from leadership
Assist in the design, testing, and implementation of process
enhancements and identify opportunities for automation
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
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
Partner cross-functionally at all levels of the organization and
effectively, both verbally and visually, communicate findings and
insights to non-technical business partners
Independently engage with customers and business partners to gather
requirements and validate results
Communicate and present data-driven insights and recommendations to
both internal and external stakeholders, soliciting and
incorporating feedback when required
Provide technical guidance to junior analysts
Education/Experience:
Bachelor's degree in business, economics, statistics, mathematics,
actuarial science, public health, health informatics, healthcare
administration, finance or related field or equivalent experience.
Master's degree preferred. 4+ years of experience working with
large databases, data verification, and data management or 2+ years
of IT experience. Healthcare analytics experience preferred.
Working knowledge of SQL/querying 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 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, risk adjustment for government sponsored
healthcare desired.
Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.
Centene is an equal opportunity employer that is committed to
diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law.
Keywords: Corporate, Florissant , Data Analyst III (Healthcare Analytics/UM/Appeals), Healthcare , Florissant, Missouri
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