WellCare

Data Analyst II (Healthcare Analytics) - Financial Analytics

Posted on: 10 Jan 2021

Clayton, MO

Job Description

Position Purpose:





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* Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends
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* Develop, execute, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools
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* Support execution of large-scale projects with limited direction from leadership
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* Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers
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* Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment
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* Support the design, testing, and implementation of process enhancements and identify opportunities for automation
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* 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
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* Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners
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* Independently engage with customers and business partners to gather requirements and validate results
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* Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when requiredt

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The Data Analyst (Healthcare Analytics) will have the opportunity to make a significant impact through the discovery, development, and implementation of leading-edge analytics that answer important business questions. The analyst will collaborate with key corporate and health plan business partners for the purpose of identifying and delivering robust reporting and analytics capabilities to drive improved business performance.



Education/Experience:



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* Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.
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* 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience.
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* Healthcare analytics experience preferred. Knowledge of query development of basic to moderate complexity using SQL or other coding languages.
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* Knowledge of basic statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred.
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* Working knowledge of analytical tools, including R, Python, SAS, ArcGIS, QGIS, Microstrategy, Tableau, Hadoop, or related tools preferred.
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* Working knowledge of relational databases preferred.
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* Working knowledge of automation capabilities such as batch processes, stored procedures, scripting languages, Microstrategy, or other tools preferred.



Finance
Experience working closely with accounting & finance business partners, using analytic techniques & tools to explore financial performance trends, or regulatory reporting with external agencies preferred; Familiarity with claims data, utilization, rate setting, risk adjustment, or member eligibility and reconciliation 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.

WellCare

Tampa, FL

WellCare Health Plans, Inc. provides government-sponsored managed care services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental security income, and aged blind and disabled residents; and other state-based programs, such as children's health insurance programs and long-term services and supports programs for qualifying families who are not eligible for Medicaid.

The Medicare Health Plans segment provides Medicare, a federal program that provides eligible persons aged 65 and over, as well as some disabled persons with a range of hospital, medical, and prescription drug benefits; Medicare Advantage, a Medicare’s managed care alternative to the original Medicare program, which offers individuals standard Medicare benefits directly through Centers for Medicare & Medicaid Services; and coordinated care plans that are administered through health maintenance organizations and require members to seek health care services and select a primary care physician from a network of health care providers.

The Medicare PDPs segment provides Medicare part D PDP plans to Medicare-eligible beneficiaries. Its PDP plans offer national in-network prescription drug coverage, including a preferred pharmacy network. As of December 31, 2018, the company served approximately 5.5 million members in the United States. WellCare Health Plans, Inc. was founded in 1985 and is headquartered in Tampa, Florida.