HEDIS Business Analyst IV

Centene Corporation

3d

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 and lead various analysis and interpretation of complex data to link business needs and objectives for assigned functions, with a strong emphasis on healthcare quality and HEDIS data and implement process and performance improvements. Lead the support of business initiatives through hands on data analysis, identification of implementation barriers and user acceptance testing of various systems. Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes. Independently analyze raw datasets to identify trends, risks, gaps, and opportunities, translating findings into actionable business recommendations (not solely reviewing pre-analyzed data). Resolve issues and identify opportunities for process redesign and improvement through quantitative analysis and root cause investigation. Perform detailed analysis on multiple projects; recommend data backed business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements. Evaluate risks and concerns, including data integrity and performance impacts, and communicate findings to management. 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 and analytical workflows. Oversee all changes to departmental policies and procedures, including communicating and implementing the changes. Serve as the subject matter expert on the assigned function product to ensure operational performance. Ability to travel.

Requirements

• Bachelor’s degree in related field or equivalent experience.
• 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis.
• Strong experience working with raw HEDIS data, including interpretation, validation, and analysis for healthcare quality initiatives strongly preferred.
• Advanced SQL skills, including writing, modifying, and executing queries and scripts to support analysis and reporting strongly preferred.
• Experience developing reports, dashboards, or insights using Power BI or similar business intelligence tools strongly preferred.
• Advanced proficiency in Excel, including data manipulation, analysis, and reporting for large datasets strongly preferred.
• Demonstrated ability to independently analyze data to identify trends, patterns, risks, and opportunities, and proactively question findings to drive business decisions (not limited to reviewing pre-analyzed datasets) strongly preferred.
• Ability to travel.

Nice To Haves

• Project management experience preferred.

Responsibilities

• Perform and lead various analysis and interpretation of complex data to link business needs and objectives for assigned functions, with a strong emphasis on healthcare quality and HEDIS data and implement process and performance improvements.
• Lead the support of business initiatives through hands on data analysis, identification of implementation barriers and user acceptance testing of various systems.
• Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes.
• Independently analyze raw datasets to identify trends, risks, gaps, and opportunities, translating findings into actionable business recommendations (not solely reviewing pre-analyzed data).
• Resolve issues and identify opportunities for process redesign and improvement through quantitative analysis and root cause investigation.
• Perform detailed analysis on multiple projects; recommend data backed business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements.
• Evaluate risks and concerns, including data integrity and performance impacts, and communicate findings to management.
• 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 and analytical workflows.
• Oversee all changes to departmental policies and procedures, including communicating and implementing the changes.
• Serve as the subject matter expert on the assigned function product to ensure operational performance.

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
• Number of Employees: 5,001-10,000 employees