Centene Management Company LLC is looking for a Healthcare Analytics Data Analyst III to analyze integrated datasets and extract value that influences business decisions to reduce the cost of care and improve clinical outcomes. In this role, you will support enterprise financial accuracy by owning the analysis, reporting, and reconciliation of provider Negative Balances and check register tie-outs across multiple claims processing platforms.
What You'll Do
- 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 using SQL, Microsoft Excel, or other analytics tools.
- Contribute to the planning and execution of large-scale projects with limited direction.
- Assist in the design, testing, and implementation of process enhancements and identify automation opportunities.
- Identify and perform root-cause analysis of data irregularities and present findings and solutions.
- Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines.
- Demonstrate ownership over projects and ask probing questions to understand business value.
- Apply expertise in quantitative analysis, data mining, and data presentation.
- Partner cross-functionally and 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 internal and external stakeholders.
- Provide technical guidance to junior analysts.
What We're Looking For
- 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.
- Working knowledge of SQL/querying languages.
Nice to Have
- Master's degree.
- Healthcare analytics experience.
- 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.
- Knowledge of modern business intelligence and visualization tools including Microsoft Power BI.
- Proven expertise in SQL (Teradata, Snowflake, or similar), including writing, validating, and optimizing complex queries.
- Advanced Power BI skills, including DAX measures, data modeling, report automation, and dashboard design.
- Experience with financial reconciliation processes (e.g., ledger tie-outs, AP reporting, claims-to-financial reconciliation).
Technical Stack
- SQL
- Microsoft Excel
- Power BI
- Teradata
- Snowflake
- Python
- R
Benefits & Compensation
- Salary: $68,700.00 - $123,700.00 per year
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible work schedules (remote, hybrid, field or office)
Work Mode
This role offers flexible schedules and is open to candidates across the Continental United States.
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.
