Healthcare Analytics Data Analyst III

Centene Corporation

4d•Remote

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. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. 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. Support enterprise financial accuracy by owning the analysis, reporting, and reconciliation of provider Negative Balances and check register tie-outs across multiple claims processing platforms. This role will develop and maintain advanced SQL queries and Power BI dashboards to ensure clear visibility, accuracy, and timely resolution of Negative Balance activity. 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.

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 Power BI.
Proven expertise in SQL (Teradata, Snowflake, or similar), including writing, validating, and optimizing complex queries is preferred.
Advanced Power BI skills, including DAX measures, data modeling, report automation, and dashboard design is preferred.
Experience with financial reconciliation processes (e.g., ledger tie-outs, AP reporting, claims-to-financial reconciliation) preferred.

Responsibilities

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.
Support enterprise financial accuracy by owning the analysis, reporting, and reconciliation of provider Negative Balances and check register tie-outs across multiple claims processing platforms.
Develop and maintain advanced SQL queries and Power BI dashboards to ensure clear visibility, accuracy, and timely resolution of Negative Balance activity.
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.