Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace.

Centene believes healthcare is best delivered locally. Our local health plans provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals.

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. This Data Analyst III focuses on enterprise provider analytics to measure and report the actual impact of contract and network changes against projected outcomes. The team delivers standardized, structured reporting to track implementation accuracy and validate savings. With clearly defined initiatives and QAIs, the goal is consistent measurement to support network strategy and business decision-making.

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 or 2+ years of IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. 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. 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.