Data Analyst III Healthcare Analytics, Provider Analytics

Centene Corporation is transforming the health of communities, and they are seeking a Data Analyst III to analyze integrated datasets to influence business decisions. The role focuses on enterprise provider analytics to measure contract and network changes and deliver insights to improve clinical outcomes.

Responsibilities:

• Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends
• Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools
• 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 and thrive in a demanding, quickly changing environment
• Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks
• 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

Requirements:

• 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
• Master's degree
• Healthcare analytics experience
• Preferred knowledge of programmatic coding languages such as Python and R
• Preferred knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis
• 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
• Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare