Healthcare Analytics Data Analyst III

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

Job summary

Centene is seeking a dedicated analyst to leverage integrated datasets to influence business decisions, ultimately improving healthcare for 28 million members. The role emphasizes advanced analytics, collaboration, and effective communication of insights derived from complex data, contributing to clinical outcomes and cost reductions.

Benefits

Comprehensive benefits package

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Qualifications

• 4+ years of experience working with large databases and data management.
• Experience writing SQL/querying languages.
• Healthcare analytics experience highly preferred.

Responsibilities

• Analyze extensive datasets to impact business decisions.
• Assist in the design and implementation of process enhancements.
• Contribute to large-scale projects with limited supervision.

Skills

Data Analysis

Statistical Techniques

Data Mining

SQL

Education

Bachelor’s degree in business, economics, statistics, or related field

Master's degree preferred

Tools

Microsoft Excel

Microsoft Power BI

SQL

Python

R

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.

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.

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. This role will require the applicant to use advanced analytics and apply statistical rigor to member and claims data to evaluate the impact of internal clinical programs, external vendor engagements, and health services research to derive data-driven insights of these initiatives on healthcare spending, healthcare utilization, and clinical outcomes.

• 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.

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 is highly preferred. Experience writing 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 Power BI. Experience in fraud/waste/abuse identification, provider billing, or clinical coding preferred. Experience with data mining is preferred.

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

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.

Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.

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. This role will require the applicant to use advanced analytics and apply statistical rigor to member and claims data to evaluate the impact of internal clinical programs, external vendor engagements, and health services research to derive data-driven insights of these initiatives on healthcare spending, healthcare utilization, and clinical outcomes.

• 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.

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 is highly preferred. Experience writing 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 Power BI. Experience in fraud/waste/abuse identification, provider billing, or clinical coding preferred. Experience with data mining is preferred.

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 , including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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

About the company

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

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