Data Analyst III Healthcare Analytics

Job summary

Analyze claims, provider, member, and encounter data to identify trends, assess business impact, and develop insights that reduce care costs and improve clinical outcomes. Build and maintain analytical scripts and reports, investigate data irregularities, support process improvements, and communicate recommendations to stakeholders while providing technical guidance to junior analysts.

Job details

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. 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. 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. 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. 4+ years of experience working with large databases, data verification, and data management experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. 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. 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: $70,100.00 - $126,200.00 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

What you’ll do

Analyze claims, provider, member, and encounter data to identify trends, assess business impact, and develop insights that reduce care costs and improve clinical outcomes. Build and maintain analytical scripts and reports, investigate data irregularities, support process improvements, and communicate recommendations to stakeholders while providing technical guidance to junior analysts.

Requirements

A bachelor’s degree in a relevant field or equivalent experience is required, with a master’s degree preferred. Candidates should have at least four years of experience with large databases, data verification, and data management, along with working knowledge of SQL; healthcare analytics, statistical and data-mining techniques, and Power BI are preferred.

Benefits

• Health Insurance
• 401K
• Stock Purchase Plans
• Tuition Reimbursement
• Paid Time Off
• Holidays
• Flexible Work Schedules

Listed skills

• Data visualization · Preferred
• SQL · Preferred
• Data analysis · Preferred
• Microsoft Excel · Preferred
• Root Cause Analysis · Preferred
• Requirements gathering · Preferred
• data management · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• SQL
• Data Analysis
• Healthcare Analytics
• Data Mining
• Statistical Analysis
• Data Modeling
• Trend Analysis
• Root-Cause Analysis
• Data Visualization
• Microsoft Power BI
• Microsoft Excel
• Data Management
• Data Verification
• Requirements Gathering
• Stakeholder Communication
• Process Automation
• SQL (Programming Language)
• Business Intelligence
• Root Cause Analysis
• Power BI
• Planning
• Timelines
• Troubleshooting (Problem Solving)
• Leadership
• Finance
• Business Valuation
• Business Continuity Planning
• Automation
• Mathematics
• Time Off Management
• Public Health
• Business Decisions
• Statistics
• Business Economics
• Quantitative Analysis
• Health Informatics
• Health Insurance

Job areas

• Data & Analytics
• Healthcare
• Technology
• Healthcare Data Analyst
• Healthcare Analyst
• Medical Records and Health Information Technicians
• Health Informatics Specialists
• Computer Systems Analysts

More jobs from Centene Corporation