HEDIS Business Analyst III

Centene Corporation; Connecticut; Hybrid; USD 70,000 - 126,000; Full time

Job summary

Centene Corporation is seeking a Business Analyst III to analyze and interpret data, linking business needs to technical solutions within HEDIS tools and processes. The role supports preparation, configuration, testing, and timely HEDIS production, partnering with internal teams and vendors.

Strong Excel skills, including PivotTables and lookup functions, and experience translating operational requirements into technical solutions are highly preferred. Travel may be required.

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 4-6 years of business process or data analysis experience, preferably in healthcare.
• Project management experience preferred.

Responsibilities

• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of HEDIS tools and systems.
• Identify and analyze user requirements, procedures, and problems to improve existing processes.
• Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful configuration, testing, and implementation.
• Identify ways to enhance performance management and operational reports related to new business implementation processes.
• Coordinate with various business units and departments in the development and delivery of training programs.
• Develop, share, and incorporate organizational best practices into business applications.
• Diagnose problems and identify opportunities for process redesign and improvement.
• Formulate and update departmental policies and procedures.
• Serve as the subject matter expert HEDIS tools and processes, supporting operational performance and accurate, timely production.

Skills

HEDIS data analysis

Healthcare analytics

Education

Bachelor’s degree in related field

Tools

HEDIS Engine

QCAT

Excel PivotTables

Job description

Position Purpose

Perform various analysis and interpretation to link business needs and objectives for assigned functions. This role provides analytical and technical support for HEDIS tools and processes, including the HEDIS Engine, QCAT, project configuration, reporting, data validation, and issue research. The Business Analyst III translates operational requirements into technical solutions, partners with internal teams and vendors, and helps support accurate and timely HEDIS production.

Position Purpose

Perform various analysis and interpretation to link business needs and objectives for assigned functions. This role provides analytical and technical support for HEDIS tools and processes, including the HEDIS Engine, QCAT, project configuration, reporting, data validation, and issue research. The Business Analyst III translates operational requirements into technical solutions, partners with internal teams and vendors, and helps support accurate and timely HEDIS production.

Key Details:

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. HEDIS operations experience and experience working with healthcare quality data, tools, or processes are highly preferred. Strong Excel skills, including PivotTables and lookup functions, are highly preferred. Experience translating operational business requirements into technical requirements, system solutions, or process improvements is highly preferred. Experience supporting technical applications, reporting tools, or systems such as HEDIS Engine or QCAT is highly preferred.

• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of HEDIS tools and systems.
• Identify and analyze user requirements, procedures, and problems to improve existing processes.
• Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful configuration, testing, and implementation.
• Identify ways to enhance performance management and operational reports related to new business implementation processes.
• Coordinate with various business units and departments in the development and delivery of training programs.
• Develop, share, and incorporate organizational best practices into business applications.
• Diagnose problems and identify opportunities for process redesign and improvement.
• Formulate and update departmental policies and procedures.
• Serve as the subject matter expert HEDIS tools and processes, supporting operational performance and accurate, timely production.
• Ability to travel.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience

• Bachelor’s degree in related field or equivalent experience.
• 4-6 years of business process or data analysis experience, preferably in healthcare.
• Project management experience preferred.

By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.Pay Range: $70,100.00 - $126,200.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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