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Senior Health Care Analyst

Work from home Full-time role Hiring

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: The Senior Health Care Analyst provides analytic support for financial modeling, trend analysis, therapeutic class strategy, and initiative implementation and measurement. Develops custom reports and models used in identifying issues, trends, patterns and relationships to be applied in financial and operational decisions.

  • Develops financial models to project cost or estimate savings for specific business decisions.
  • Develops and manages therapeutic class cost and utilization projection models to support budget forecasting, pricing, and strategy development.
  • Develops exception reporting and conducts drill down analysis to proactively identify specific opportunities and risks that warrant assessment by the Strategy Development Committee.
  • Monitors projection targets. Analyzes, researches, and interprets results, variances, and trends.
  • Prepares and maintains strategy documents for therapeutic classes.
  • Prepares and communicates trend analysis and recommendations verbally and in writing to committees, clinical staff, management, and clients.
  • Develops and manages reporting templates used to analyze and interpret data.
  • Designs complex ad hoc reports to support a variety of functional areas.
  • Advises Healthcare Analysts in producing reports and interpreting data.

Education/Experience:

  • Bachelor’s degree in business, finance, public health, health informatics or related field required. Master's degree preferred.
  • Minimum five years related experience with minimum two years financial modeling experience required.
  • Experience in Healthcare analytics of financial/clinical data, including claims analysis, cost of care, or utilization trends, with strong knowledge of analytical techniques such as data modeling, trend analysis, and root cause analysis strongly preferred.
  • Experience using advanced analytical and reporting tools such as SQL, R, Python, Power BI, Tableau, or similar tools to extract, analyze, and validate data, with an emphasis on hands-on querying and data interpretation strongly preferred.
  • Experience identifying drivers of cost, explaining variances, and translating findings into actionable insights for business and clinical stakeholders strongly preferred.
  • Experience presenting analysis and recommendations to leadership audiences (Director level and above), with the ability to clearly communicate complex data in a concise and meaningful way strongly preferred.

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. Pay Range: $70,100.00 - $126,200.00 per year 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

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