Data Analyst III Healthcare Analytics, Provider Analytics

Centene Corporation•Remote-MO, MO

1d•Hybrid

About The Position

This Data Analyst III role focuses on enterprise provider analytics to measure and report the actual impact of contract and network changes against projected outcomes. The team delivers standardized, structured reporting to track implementation accuracy and validate savings. With clearly defined initiatives and QAIs, the goal is consistent measurement to support network strategy and business decision-making. The position involves analyzing integrated and extensive datasets to extract value that directly impacts and influences business decisions. It requires working collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce the overall cost of care for members and improve their clinical outcomes.

Requirements

Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.
4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience.
Working knowledge of SQL/querying languages.

Nice To Haves

Master's degree preferred.
Healthcare analytics experience preferred.
Preferred knowledge of programmatic coding languages such as Python and R.
Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred.
Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI.
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.

Responsibilities

Interpret and analyze data from multiple sources including claims, provider, member, and encounters data.
Identify and assess the business impact of trends.
Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools.
Contribute to the planning and execution of large-scale projects with limited direction from leadership.
Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation.
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 and thrive in a demanding, quickly changing environment.
Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks.
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.
Partner cross-functionally at all 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.
Provide technical guidance to junior analysts.