Provider Network Analytics Lead - Contracts & Performance

Centene Management Company LLC

Georgia

Hybrid

USD 88,000 - 158,000

Full time

3 days ago
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Benefits offered by this job

Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off and holidays
Flexible work schedules

Job summary

Centene Management Company LLC is seeking a senior-level analytics professional to manage and support the development of network performance analytics for contracting and modeling applications in Georgia.

You will work with providers and communities across the state, travel as needed, and collaborate across departments to tailor analytic reporting and training. The role emphasizes leadership in cross-functional teams and driving data-driven contracting decisions.

Qualifications

  • Bachelor's degree in Business, Economics, Finance, Healthcare or related field or equivalent experience.
  • 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience.
  • Leadership experience in a cross-functional team on large projects or supervisory responsibilities.

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 on network performance applications and reporting tools.
  • Lead provider profiling and network performance analytic support functions for health plans and stakeholders.
  • Monitor unit cost trends and network improvement opportunities; support existing application solutions and plan project milestones.

Skills

Contracting analytics
Provider contract modeling
Quality measurement
SQL
SAS/SPSS
Office Suite
Visio

Education

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

Tools

SQL
SAS/SPSS
Visio
Office Suite

Job description

Centene Management Company LLC is seeking a senior-level analytics professional to manage and support the development of network performance analytics for contracting and modeling applications in Georgia.

You will work with providers and communities across the state, travel as needed, and collaborate across departments to tailor analytic reporting and training. The role emphasizes leadership in cross-functional teams and driving data-driven contracting decisions.

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