Position Purpose:
* Prioritize and direct the planning and execution of enterprise-wide analytics projects and strategic initiatives, supporting the translation of business goals into actionable solutions
* Provide senior leadership support and partnership to development efforts between business and technical partners
* Interface with health plan and corporate executive leadership to ensure effective communication and visibility of strategic intent to analytic teams
* Prioritize team work and manage executive customer expectations and relationships
* Maintain alignment of team goals and resource deployment with strategic objectives and the business needs of multiple health plans and corporate stakeholders
* Serve as a primary domain contact as well as key point of escalation and accountability to ensure customer partnership and satisfaction
* Collaborate with leaders across analytic domains to ensure strong partnerships, align all business needs, leverage cross-functional skills, and co-develop valuable analytic solutions
* Mentor, manage, and ensure the continuous development of a team of leaders and analysts
The Director, Healthcare Analytics leads analytic service delivery by aligning strategic objectives with the development of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health plan and business partners and partners across functional areas to deliver best-in-class analytic services.
Education/Experience:
Bachelors degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field. Master's degree preferred. 7+ years of experience in healthcare analytics, leading an organization, creating strategic plans, and operationalizing functional teams in direct relation to meeting business needs or realizing goals tied to strategic objectives. Experience in strategic planning and solutioning preferred. Broad exposure and understanding of statistical, analytical, or data mining techniques and appropriate application of these capabilities in a business performance environment preferred. Working knowledge of analytical tools, including R, Python, SAS, ArcGIS, QGIS, Microstrategy, Tableau, Hadoop, or related tools preferred.
Provider
Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data science, or geospatial/reimbursement analysis preferred
Quality
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
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.
St Louis, MO
Centene Corporation operates as a diversified and multi-national healthcare enterprise that provides programs and services to under-insured and uninsured individuals in the United States. The company’s Managed Care segment offers health plan coverage to individuals through government subsidized programs, including Medicaid, the State children’s health insurance program, long-term services and support, foster care, and medicare-medicaid plans, which covers dually eligible individuals, as well as aged, blind, or disabled programs. Its health plans include primary and specialty physician care, inpatient and outpatient hospital care, emergency and urgent care, prenatal care, laboratory and X-ray, home-based primary care, transportation assistance, vision care, dental care, telehealth, immunization, specialty pharmacy, therapy, social work, nurse advisory, and care coordination services, as well as prescriptions, limited over-the-counter drugs, medical equipment, and behavioral health and abuse services.
This segment also offers various individual, small group, and large group commercial healthcare products to employers and directly to members in the Managed Care segment.Its Specialty Services segment provides pharmacy benefits management services; health, triage, wellness, and disease management services; and vision and dental, and management services, as well as care management software that automate the clinical, administrative, and technical components of care management programs. This segment offers its services and products to state programs, correctional facilities, healthcare organizations, employer groups, and other commercial organizations. The company provides its services through primary and specialty care physicians, hospitals, and ancillary providers. Centene Corporation was founded in 1984 and is headquartered in St. Louis, Missouri.