Centene Corporation

Compensation

Full 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. Position Purpose: Acts as a lead to a team of Business Technical Analysts, coordinates technical training for the Team, provides project tracking/metrics, acts as technical Team liaison with IT and vendors as needed, acts as a cross-functional project lead and provides status reports on Team activities to the Manager. • Collaborate with IT, Operations, and external vendors to identify and target eligible Medicare and Medicaid members for the In-Home Assessment (IHA) Program. • Perform detailed data analysis using SQL. • Validate member demographics, eligibility, plan enrollment, and contact information. • Review claims data to identify relevant encounters such as office visits and emergency room visits. • Generate comprehensive vendor packages containing member demographics, PCP details, diagnosis codes, care gaps, and contact information. • Formulates new internal processes and analytical reports to improve information resources. • Gathers data from departments; update periodic reports; analyze statistical data to identify and correct errors and to evaluate general content. • Using advanced business unit knowledge, proactively researches requests for assistance and recommends software solutions or process improvements that will meet business needs. • Conducts accounting-based research and analysis to provide definitive financial data and advice for use in administering specific fiscal programs and processes. • Performs review analyzes, including accumulation of data, financial & forecast modeling, reporting and monitoring of responses. • Develops ad-hoc reports to conduct data analysis and validation. • Analyzes trends to recommend process and/or operational improvements. • Researches methodologies and conducts advanced metric reporting. • Evaluates financial impact of implemented initiatives. • Participates in mentoring analyst within the team to strengthen the team’s knowledge, expertise and flexibility by sharing knowledge of history, background, data, processes and anything relevant to develop Analysts into Subject Matter Experts and broaden their knowledge base. • Escalate hot topics and processes at risk of missing requirements to help keep the analysts and business Teams synchronized. • Uses raw data from data warehouse to generate reports using statistical tools like SAS/Power BI. • Evaluates internal and external customers’ needs and abilities in order to provide appropriate solutions. • Provides input to business requirements for the design of solutions. • Explores the data and discovers patterns, meaningful relationships, anomalies and trends. • Designs Institute-wide “views” and custom reports. • Performs analysis for a wide range of requests using data in different formats and from various platforms. • Researches business problems and creates models that help analyze these business problems. • Develops best practices for report deployments. • Performs other duties as assigned • Complies with all policies and standards Education/Experience: Required A Bachelor's Degree in a related field Computer Science, Data science, Information Technology, Mathematics, Statistics, or Public health. Required or equivalent work experience in technical data analysis. Preferred a Master's degree in a related field, i.e., Mathematics, Computer Science, etc. may be considered in lieu of some of the required experience (not to exceed 2 years) Candidate Experience: Required 5+ years of experience in business technical analysis or similar related role Preferred 5+ years of experience in healthcare Licenses and Certifications: A license in one of the following is preferred: Preferred SAS Certified Base Programmer Credential Preferred SAS Certified Advanced Programmer Credential Pay Range: $105,600.00 - $195,400.00 per year 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