Healthcare Data Analyst III (Quality Improvement)
Posted on: 29 Jan 2021
Clayton, MO
Job Description
Position Purpose:
Responsible for development and design of quality scorecard and tools. Analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts.
* Provide advanced analytical support for business operations in all or some of the following areas: 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 MS Excel, Access, SQL, and/or other data ware house 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.
Education/Experience:
Bachelor's degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Advanced knowledge of Enterprise Reporting and Analysis tools, SQL, and Microsoft Office applications, including Excel and Access. Experience managing projects or heavy involvement in project implementation. Healthcare experience (Managed Care) highly 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.
Centene
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.
-
IndustryHealthcare
-
No. of Employees47, 300
-
Website
-
Jobs Posted349
