Contract Analyst III

Cenetene Corporation; Springfield (MO); Remote; USD 68,000 - 124,000; Full time

Job summary

A leading healthcare organization is seeking an experienced analyst to provide support for network performance and financial impact analysis. The role involves developing applications, preparing reports, and collaborating with health plans. This remote position requires occasional travel. Competitive benefits and pay range from $68,700 to $123,700 per year.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 4+ years experience with provider reimbursement and analysis.
• Intermediate knowledge of Access and Excel applications.
• Working knowledge of SQL tools and analytical software preferred.

Responsibilities

• Provide analytic support for network performance and cost trends.
• Prepare network performance management reports.
• Collaborate with health plans for contract negotiations.

Skills

Provider Reimbursement

Data Analysis

Statistical Analysis

Education

Bachelor's degree in Business

Bachelor's degree in Finance

Bachelor's degree in Accounting

Tools

SQL

SAS

SPSS

Business Objects

Cognos

Access

Excel

Job description

You could be the one who changes everything for our 28 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:** Provide analytic support for network performance, unit cost trend, network profiling and evaluation, and contract modeling for current health plans, future business, and new products. Utilize applications and tools to support network performance management reporting and analytic needs.

+ Support the design and development of applications to project and determine financial impact for contract negotiations for health plans, national contracting opportunities (hospital, physician, and ancillary) and impact of statewide rate changes

+ Support the design and development of enhanced analytic capabilities and tools to monitor and evaluate financial impact of changes in reimbursement terms with providers and statewide rate changes for health plans

+ Prepare network performance management reports to monitor and measure unit cost trends and network improvement opportunities

+ Identify, define, and implement improvements in the methods, standards and processes to better enable constructing enterprise and stand-alone applications Identify and quantify cost of care savings opportunities, recommend strategies to achieve targeted results, and provide analytic support for health plans Identify potential source data enhancements and business rule changes needed to produce the business information expected as a result

+ Research trends in provider reimbursement and strategy to improve unit cost performance Evaluate alternative reimbursement methodologies to improve unit cost management for current and future business opportunities

+ Collaborate with health plans to evaluate analytic needs for contracting modeling and evaluation to support contract negotiations

+ Support existing application solutions, develop enhancements requested by the business, and identify technical enhancements to improve stability, performance and quality of the outcome

**Education/Experience:** Bachelor's degree in Business, Finance, Accounting, related field, or equivalent experience. 4+ years experience with provider reimbursement and analysis, application development, data/contract analysis and data mining or statistics, preferably in the healthcare industry. Intermediate knowledge of Access and Excel applications. Working knowledge of SQL tools, analytical software (SAS, SPSS, etc), and Business Objects/Cognos preferred.

**The hiring leader would ideally like to hire someone in the state of Illinois for this position, but they may consider a highly qualified candidate elsewhere if they are willing to adjust their work schedule to align with Central Time business hours. This is a remote role that requires occasional travel to the Chicago, IL and/or Burr Ridge, IL offices a few times per year.**

Pay Range: $68,700.00 - $123,700.00 per year

Centene offers a comprehensive benefits package including: 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act