Provider Network Analytics Lead

Centene Corp.; Georgia; Hybrid; USD 88,000 - 158,000; Full time

Job summary

Centene Corp in Georgia seeks a seasoned analytics professional to manage and advance network performance analytics. You will design, build and maintain data solutions supporting contracting analytics and modeling applications, interfacing with providers, health plans and field staff.

The role requires collaboration across departments, leadership of cross-functional teams, and the ability to analyze cost trends and implement improvements.

Qualifications

• Bachelor's degree or equivalent experience in a related field.
• 5+ years in contracting, health care reimbursement, provider contract modeling or quality measurement.
• Experience leading cross-functional teams on large projects or supervising staff.
• Knowledge of Health Care Delivery Systems; familiarity with SQL, SAS/SPSS, Office Suite, Visio.

Responsibilities

• Oversee development of project applications and determine financial impact of contract negotiations and statewide rate changes.
• Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools
• Lead provider profiling and network performance analytic support functions and provide support to health plans and other stakeholders
• Oversee, monitor and measure unit cost trends and network improvement opportunities
• Support existing application solutions, identify and develop technical enhancements to improve outcomes
• Plan, manage, analyze, design and implement projects, including scheduling deliverables, goals, and milestones

Skills

Contracting analytics

Healthcare reimbursement

Provider contract modeling

Quality measurement

Education

Bachelor's degree in Business, Economics, Finance, Healthcare or related field

Tools

SQL

SAS/SPSS

Office Suite

Visio

Job description

Centene Corp in Georgia seeks a seasoned analytics professional to manage and advance network performance analytics. You will design, build and maintain data solutions supporting contracting analytics and modeling applications, interfacing with providers, health plans and field staff.

The role requires collaboration across departments, leadership of cross-functional teams, and the ability to analyze cost trends and implement improvements.