Business Analyst III Medicare VBC

Centene Corporation

About The Position

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, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Deliver analytics and reporting for local and national Value Based Care (VBC) provider groups Leverage corporate Power BI tools to export, analyze, and visualize: Financial performance, Quality outcomes, Risk adjustment metrics and Membership data Translate data into insights to support corporate leadership, health plan leadership, and provider partners Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations Identify ways to enhance performance management and operational reports related to new business implementation processes Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Diagnose problems and identify opportunities for process redesign and improvement Formulate and update departmental policies and procedures Serve as the subject matter expert on the assigned function product to ensure operational performance Ability to travel Performs other duties as assigned Complies with all policies and standards

Requirements

Bachelor’s degree in related field or equivalent experience.
4+ years of business process analysis (i.e. documenting business process, gathering requirements).
Experience in healthcare industry, preferably with managed care techniques and administrative philosophy.
Experience in managed health care experience, preferably with Medicare.
Experience working with and leading diverse teams in matrix managed environments.

Nice To Haves

Project management experience preferred.
Advanced proficiency in Microsoft Excel and Power BI preferred.
Experiencing leveraging SQL, SAS to access enterprise data warehouses preferred.
Strong experience in understanding provider performance metrics, including Stars, HBR, Risk Score, Compliance rates, and APV rates preferred.

Responsibilities

Perform various analysis and interpretation to link business needs and objectives for assigned function
Deliver analytics and reporting for local and national Value Based Care (VBC) provider groups
Leverage corporate Power BI tools to export, analyze, and visualize: Financial performance, Quality outcomes, Risk adjustment metrics and Membership data
Translate data into insights to support corporate leadership, health plan leadership, and provider partners
Identify and analyze user requirements, procedures, and problems to improve existing processes
Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
Identify ways to enhance performance management and operational reports related to new business implementation processes
Coordinate with various business units and departments in the development and delivery of training programs
Develop, share, and incorporate organizational best practices into business applications
Diagnose problems and identify opportunities for process redesign and improvement
Formulate and update departmental policies and procedures
Serve as the subject matter expert on the assigned function product to ensure operational performance
Ability to travel
Performs other duties as assigned
Complies with all policies and standards