Centene Corporation Business Analyst IV (Healthcare Analytics) in Raleigh, North Carolina
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: Evaluate data and insights from extensive and integrated data sets to enable data-driven decision making to reduce overall cost of care and improve clinical outcomes for members. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights.
Lead the facilitation of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems.
Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes.
Resolve issues and identify opportunities for process redesign and improvement.
Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements.
Evaluate risks and concerns and communicate to management.
Coordinate with various business units and departments for problem solving, process improvement, and other business initiatives.
Identify ways to enhance performance management and operational reports.
Develop, share, and incorporate organizational best practices into business applications and processes.
Oversee all changes to departmental policies and procedures, including communicating and implementing the changes.
Serve as a subject matter expert on assigned functions, products, or analytic domains in support of strategic objectives.
Mentor junior analysts on best practices and business need fulfilment. Delegate tasks to junior analysts, providing guidance and validation where required.
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. 5+ years of experience in business process, data analysis, or requirements analysis. Healthcare, analytics delivery, project management, and/or IT experience preferred. Working knowledge of SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of basic statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Ability to integrate, validate, and reconcile data from multiple sources as well as design and construct analysis tools that extract, prepare, analyze, and store/present results to support business needs. Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI.
Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred; Quality auditing or analysis of call center performance preferred; Experience with data mining, population health, and statistical modeling preferred
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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.
TITLE: Business Analyst IV (Healthcare Analytics)
LOCATION: Various, North Carolina