Clinical Analyst

Centene CorporationRemote-NY, KS
$70,100 - $126,200Hybrid

About The Position

Responsible for analytic data needs of the business unit. Handles complex data projects and acts as a lead for other Data Analysts. This role blends technical analytics with strong business partnership, supporting clinical and operational teams through actionable data solutions. Provide advanced analytical support for business operations in all or some of the following areas: authorizations, claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting. Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources. Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management. Develop reports and deliverables for management. Model data using Power BI, MS Excel, Access, SQL, and/or other data warehouse analytical tools. Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis. Assist with training and mentoring other Data Analysts. Performs other duties as assigned. Complies with all policies and standards.

Requirements

  • Bachelor's degree in related field or equivalent experience.
  • 4+ years of statistical analysis or data analysis experience.
  • Experience managing projects or heavy involvement in project implementation.

Nice To Haves

  • Power BI experience, including building dashboards and data models from source data, strongly preferred.
  • SQL coding experience with the ability to extract and validate data from source systems strongly preferred.
  • Healthcare analytics experience, particularly with clinical or authorization related data, strongly preferred.
  • Advanced Excel skills, including complex formulas, pivot tables, and data validation, strongly preferred.
  • Demonstrated analytical and trend analysis skills with the ability to identify insights, issues, and opportunities for improvement, strongly preferred.

Responsibilities

  • Provide advanced analytical support for business operations in areas such as authorizations, claims, provider data, member data, clinical data, HEDIS, pharmacy, and external reporting.
  • Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources.
  • Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management.
  • Develop reports and deliverables for management.
  • Model data using Power BI, MS Excel, Access, SQL, and/or other data warehouse analytical tools.
  • Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis.
  • Assist with training and mentoring other Data Analysts.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Benefits

  • competitive pay
  • health insurance
  • 401K
  • stock purchase plans
  • tuition reimbursement
  • paid time off
  • holidays
  • a flexible approach to work with remote, hybrid, field or office work schedules
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