Contract Analyst III

Centene; United States; Remote; USD 68,000 - 124,000; Full time

Job summary

A leading healthcare company seeks an experienced analyst to support network performance and contract modeling. The role involves utilizing various tools for financial analysis and collaborating with health plans. This remote position offers competitive compensation and benefits, including health insurance and flexible work arrangements.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Holidays

Flexible Work Arrangements

Qualifications

• 4+ years of experience in provider reimbursement and analysis.
• Experience with application development and data mining.

Responsibilities

• Provide analytic support for network performance and contract modeling.
• Prepare network performance management reports and identify cost savings.

Skills

Provider Reimbursement

Data Analysis

Statistics

SQL

Analytical Software

Education

Bachelor's degree in Business

Bachelor's degree in Finance

Bachelor's degree in Accounting

Tools

Access

Excel

SQL Tools

SAS

SPSS

Business Objects

Cognos

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.

1. 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.
2. 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.
3. Prepare network performance management reports to monitor and measure unit cost trends and network improvement opportunities.
4. Identify, define, and implement improvements in methods, standards, and processes to better enable construction of 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 expected business information.
5. Research trends in provider reimbursement and strategies to improve unit cost performance. Evaluate alternative reimbursement methodologies to improve unit cost management for current and future business opportunities.
6. Collaborate with health plans to evaluate analytic needs for contracting modeling and evaluation to support contract negotiations.
7. Support existing application solutions, develop requested enhancements, and identify technical improvements to enhance stability, performance, and quality of outcomes.

Education/Experience:

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

Location and Work Schedule:

Ideally based in Illinois; open to highly qualified candidates elsewhere willing to adjust to Central Time hours. This is a remote role with occasional travel to Chicago, IL, or Burr Ridge, IL, a few times per year.

Compensation and Benefits:

Pay Range: $68,700 - $123,700 annually. Includes health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off, holidays, and flexible work arrangements. Actual pay depends on skills, experience, education, and other factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.

About the company

Centene Corporation is a publicly traded managed care company based in St.