Job Description
6 days ago Be among the first 25 applicants
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.
Applicants for this job have the flexibility to work remote from home. Candidate must live in Eastern or Central Time Zone.
Position Purpose Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes.
- Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data.
- Support execution of large-scale projects with limited direction from leadership.
- Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers.
- Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines.
- Support the design, testing, and implementation of process enhancements and identify opportunities for automation.
- Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products.
- Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners.
- Independently engage with customers and business partners to gather requirements and validate results.
- Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience Bachelors degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/query languages. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Experience using analytic techniques & tools to explore financial performance trend is preferred.
Pay Range $55,100.00 - $99,000.00 per year
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. Total compensation may also include additional forms of incentives.
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
Seniority level
Seniority level
Not Applicable
Employment type
Employment type
Full-time
Job function
Job function
Information Technology Industries
Hospitals and Health Care and Insurance
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Job Tags
Full time, Contract work, Freelance, Work at office, Remote work, Live in, Flexible hours,