Strategic Provider Network Analytics Leader - Remote

Centene Corporation; Missouri; Hybride; USD 108 000 - 199 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible remote/hybrid schedules

Résumé du poste

Centene Corporation is seeking a senior analytics professional to manage and support the development of network performance analytics. The role focuses on contracting analytics, modeling applications, and evaluating financial impact of unit cost changes.

The position is 100% remote within the United States with quarterly onsite meetings in St. Louis, MO. Travel not required; local colleagues encouraged to attend in person when possible.

Qualifications

• Bachelor's degree in Business, Economics, Finance, Healthcare or 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 and familiarity with SQL, SAS/SPSS, Office Suite, and Visio preferred.

Responsabilités

• 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, including scheduling 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, identify and develop technical enhancements to improve outcomes.

Connaissances

Contracting analytics

Provider contract modeling

Healthcare reimbursement

Formation

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

Outils

SQL

SAS/SPSS

Office Suite

Visio

Description du poste

Centene Corporation is seeking a senior analytics professional to manage and support the development of network performance analytics. The role focuses on contracting analytics, modeling applications, and evaluating financial impact of unit cost changes.

The position is 100% remote within the United States with quarterly onsite meetings in St. Louis, MO. Travel not required; local colleagues encouraged to attend in person when possible.