Lead Data Analyst (Healthcare Analytics) (centene)

Job Description

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.

• 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.
• Lead the planning and execution of enterprise-wide projects and strategic initiatives, translating business goals into actionable solutions.
• Identify and resolve data, process, and technical issues and communicate root-cause with stakeholders.
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• Partner cross-functionally at all levels of the organization and 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.
• Facilitate cross-team project collaboration between state-based health plans and business units, including IT, Finance, Network Development, and Payment Integrity.
• Serve as a business leader and subject matter expert for data domains.
• Consolidate and review analyses and recommendations of internal and external business partners.
• Mentor analysts on analytic best practices and business needs fulfilment. Delegate tasks, providing guidance and validation where required.

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.
• 6+ years of experience working with large databases, data verification, and data management or 5+ 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.
• Experience in change management processes and procedures 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.

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.  Total compensation may also include additional forms of incentives.

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