Remote Senior Manager, Network Performance Analytics

Centene Management Company LLC; Missouri; Hybrid; USD 108,000 - 199,000; Full time

Job summary

Centene Management Company LLC is seeking a senior analyst to drive contracting analytics and build data solutions for evaluating financial impact of unit costs and care costs. This role focuses on network performance analytics, provider profiling, and contract modeling to support health plan decision-making.

The position is 100% remote within the United States, with quarterly onsite meetings in St. Louis, MO.

Qualifications

• Bachelor's degree in a related field or equivalent experience.
• 6+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience.
• Knowledge of Health Care Delivery Systems; familiarity with SQL, SAS/SPSS, Office Suite and Visio preferred.

Responsibilities

• Oversee the development of project applications and determine the financial impact of contract negotiations and statewide rate changes.
• Develop enhanced analytic and reporting capabilities and tools to monitor and evaluate financial impact of changes in unit cost and cost of care.
• Provide analytic support for network performance, unit cost trend, network profiling, evaluation, and contract modeling for current and future business.
• Plan, manage, analyze, design and implement projects with deliverables, goals, and milestones.
• 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 and identify technical enhancements to improve outcomes.

Skills

Contract analytics

Data analysis

Stakeholder communication

Education

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

Tools

SQL

SAS/SPSS

Office Suite

Visio

Job description

Centene Management Company LLC is seeking a senior analyst to drive contracting analytics and build data solutions for evaluating financial impact of unit costs and care costs. This role focuses on network performance analytics, provider profiling, and contract modeling to support health plan decision-making.

The position is 100% remote within the United States, with quarterly onsite meetings in St. Louis, MO.