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Healthcare Business Analyst IV Data Solutions

Role overview

Summary

This role focuses on analyzing and interpreting business needs to implement process improvements within Centene. You will serve as a subject matter expert, coordinating with various departments to enhance operational performance and support healthcare initiatives.

Qualifications

  • Bachelor’s degree in related field or equivalent experience.
  • 6+ years of business process or data analysis experience, preferably in healthcare.
  • Preferred: Advanced knowledge of Microsoft Applications, including Excel and Access.
  • Preferred: Project management experience.
  • Preferred: Previous structured testing experience.

Responsibilities

  • Lead the support of business initiatives through data analysis and user acceptance testing.
  • Identify and analyze user requirements and existing processes for improvement.
  • Perform detailed analysis on multiple projects and recommend business solutions.
  • Coordinate with various business units in the development and delivery of training programs.

Key facts

Hard skills

Other skills

  • Microsoft Excel
  • Communication
  • Problem Solving
  • Teamwork

About the company

Centene Corporation logo

Centene Corporation

  • Health Insurance & Payers
  • XLarge
  • 10,001+
Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

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Job description

Position Purpose: Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements.


Key Details: 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.


Advanced experience analyzing complex business processes, identifying operational and system gaps, and translating business objectives into clear, actionable requirements and recommendations highly preferred.


Strong hands-on SQL skills, including the ability to independently extract, join, filter, aggregate, reconcile, and validate data from multiple sources highly preferred.


Experience with Power BI, Tableau, or similar reporting tools and the ability to translate analytical findings into actionable business recommendations preferred.


Demonstrated success leading complex cross-functional initiatives, influencing stakeholders, and improving healthcare operations, systems, automation, or regulatory readiness preferred.



  • Lead the support of business initiatives through 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
  • Resolve issues and identify opportunities for process redesign and improvement
  • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements
  • Evaluate risks and concerns and communicate 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
  • 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

Education/Experience: 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. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred. Previous structured testing experience preferred.


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.

Pay Range: $87,700.00 - $157,800.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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

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