Clinical Analyst

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.
 

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Work Schedule: This role primarily supports Eastern Time hours.

Position Purpose: Responsible for analytic data needs of the business unit. Handles complex data projects and acts as a lead for other Data Analysts. This role blends technical analytics with strong business partnership, supporting clinical and operational teams through actionable data solutions.

• Provide advanced analytical support for business operations in all or some of the following areas: authorizations, claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting.
• Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources.
• Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management.
• Develop reports and deliverables for management.
• Model data using Power BI, MS Excel, Access, SQL, and/or other data warehouse analytical tools.
• Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis.
• Assist with training and mentoring other Data Analysts.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience:

• Bachelor’s degree in related field or equivalent experience.
• 4+ years of statistical analysis or data analysis experience.
• Power BI experience, including building dashboards and data models from source data, strongly preferred.
• SQL coding experience with the ability to extract and validate data from source systems strongly preferred.
• Healthcare analytics experience, particularly with clinical or authorization related data, strongly preferred.
• Advanced Excel skills, including complex formulas, pivot tables, and data validation, strongly preferred.
• Demonstrated analytical and trend analysis skills with the ability to identify insights, issues, and opportunities for improvement, strongly preferred.
• Experience managing projects or heavy involvement in project implementation.

By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.

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