Data Analyst II HEDIS

Centene Corporation

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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: Responsible for analytical data needs. Handle complex data requests, reports, and predictive data modeling. Analyze health management programs including: data collection, validation and outcome measurement Financial, pharmacy, claims, provider, and member data IRS, CMS, HHSC, HEDIS reporting Internal data cleansing and data reconciliation analysis Trend analysis in various functional areas of health care management Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to core databases (ODS/EDW) Produce reports for and interface with senior management and internal and external stakeholders Gather and interpret business requirements and monitor data trends to proactively identify issues Execute data changes and update core systems as needed Handle multiple projects and timelines effectively and communicate risks and issues to manager regularly Assist with training lower level Data Analysts Performs other duties as assigned. Complies with all policies and standards.

Requirements

• Bachelor’s degree’s related field or equivalent experience.
• 2+ years of statistical analysis or data analysis experience.

Nice To Haves

• Experience with quality, HEDIS or process improvement a huge plus.

Responsibilities

• Handle complex data requests, reports, and predictive data modeling
• Analyze health management programs including: data collection, validation and outcome measurement
• Financial, pharmacy, claims, provider, and member data
• IRS, CMS, HHSC, HEDIS reporting
• Internal data cleansing and data reconciliation analysis
• Trend analysis in various functional areas of health care management
• Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to core databases (ODS/EDW)
• Produce reports for and interface with senior management and internal and external stakeholders
• Gather and interpret business requirements and monitor data trends to proactively identify issues
• Execute data changes and update core systems as needed
• Handle multiple projects and timelines effectively and communicate risks and issues to manager regularly
• Assist with training lower level Data Analysts
• Performs other duties as assigned.
• Complies with all policies and standards.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level