Data Analyst IV Healthcare Analytics, Medical Economics

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: 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. This Data Analyst IV's work focuses on analyzing and running complex reports, understanding financial drivers and cost trends, and applying insights to optimize medical spend while maintaining quality of care. Ideal candidates bring deep healthcare industry knowledge (claims vs. encounters, DRGs, Medicare/Medicaid/Marketplace), strong technical skills, and the ability to identify trends, root causes, and cost-saving opportunities across the organization.

• Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data
• Lead the planning and execution of large-scale projects and new reporting tools, translating business goals into actionable solutions
• Identify and resolve data, process, and technical issues and communicate root-cause with stakeholders as appropriate
• 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 business leaders to understand market-specific levers and constraints
• Leverage enterprise reporting tools to rapidly deliver data-driven insights and recommendations
• Research key business problems and proactively identify opportunities for cost and utilization improvements through quantitative analysis
• Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required
• Mentor junior analysts on analytic best practices and business need fulfilment
• Delegate tasks to junior analysts, providing guidance and validation where required
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Master's degree preferred. 5+ years of experience working with large databases, data verification, and data management or 3+ years IT experience. Healthcare analytics experience preferred. Experience with table creation and indexing, query optimization, and utilization of stored procedures. Working knowledge of SQL/querying languages. Experience with table creation and indexing, query optimization, and utilization of stored procedures. 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. 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.

By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.

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.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act