Data Analyst III – Healthcare Analytics
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Job Description
Healthcare analytics Data Analyst III analyzing claims and member data for Centene, a national health solutions provider. Delivering insights that reduce care costs and improve clinical outcomes.
Responsibilities:
- Analyze integrated and extensive datasets to extract value that impacts business decisions
- Collaborate with business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce cost of care and improve clinical outcomes
- Interpret and analyze claims, provider, member, and encounters data
- Identify and assess the business impact of trends
- Develop, maintain, and troubleshoot complex SQL, Microsoft Excel, and analytics-tool scripts and reports
- Contribute to planning and execution of large-scale projects with limited leadership direction
- Assist in designing, testing, and implementing process enhancements and identify automation opportunities
- Perform root-cause analysis of data irregularities and present findings and proposed solutions
- Manage multiple variable tasks and data review processes within targeted timelines
- Apply quantitative analysis, data mining, and data presentation expertise to understand customer interactions with analytic products
- Partner cross-functionally and communicate findings and insights to non-technical business partners
- Engage customers and business partners to gather requirements and validate results
- Present data-driven insights and recommendations to internal and external stakeholders
- Provide technical guidance to junior analysts
Requirements:
- Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance, or related field, or equivalent experience
- 4+ years of experience working with large databases, data verification, and data management, or 2+ years of IT experience
- Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future
- Working knowledge of SQL/querying languages
- Preferred knowledge of 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 business intelligence and visualization tools, including Microsoft Power BI
- 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, and risk adjustment for government-sponsored healthcare desired
- Healthcare analytics experience preferred
Benefits:
- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Potential additional forms of incentives
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