Note: The job is a remote job and is open to candidates in USA. Centene is transforming the health of our communities, one person at a time. The Clinical Analyst role is responsible for handling complex data projects and providing advanced analytical support for business operations, while also supporting clinical and operational teams through actionable data solutions.
Responsibilities
- 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
Skills
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Bachelor's degree in related field or equivalent experience
- 4+ years of statistical analysis or data analysis experience
- 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
- 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
Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- A flexible approach to work with remote, hybrid, field or office work schedules
- Total compensation may also include additional forms of incentives
- Benefits may be subject to program eligibility
Company Overview