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Data Analyst II, Provider Analytics
Centene Corporation. Support Provider Network Management and Provider Engagement through analytical data needs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and interpreting healthcare data, including claims and pharmacy data, while utilizing SQL and Microsoft Excel for data validation and reporting. Proficient in managing provider network data and supporting contract negotiations through analytical insights.
Highest-signal resume keywords
SQL ProficiencyHealthcare Data AnalysisMicrosoft Excel ExpertiseData Reporting in Power BIStatistical Analysis Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisData ValidationPredictive Data ModelingTrend AnalysisData CleansingFinancial AnalysisClaims AnalysisPharmacy Data AnalysisOutcome MeasurementData Interpretation
Soft Skills
CommunicationProject ManagementTraining and Mentoring
Tools & Technologies
Microsoft AccessPower BISnowflakeBusiness ObjectsODS/EDW Databases
Industry Keywords
Provider Network ManagementProvider EngagementHEDIS ReportingIRS ComplianceCMS ComplianceHHSC Standards
Tech Stack
Tools & technologiesCloudSnowflakeSQL
About the role
Key responsibilities & impact- Support Provider Network Management and Provider Engagement through analytical data needs
- Analyze, validate, and interpret healthcare data, including claims, encounters, pharmacy, and provider demographic data
- Support provider contract negotiations, unit cost management, and provider quality initiatives
- Handle complex data requests, reports, and predictive data modeling
- Analyze health management programs through data collection, validation, and outcome measurement
- Perform financial, pharmacy, claims, provider, and member data analysis; IRS, CMS, HHSC, and HEDIS reporting; data cleansing and reconciliation; and trend analysis
- Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to ODS/EDW databases
- Produce reports for and interface with senior management and internal and external stakeholders
- Gather and interpret business requirements and monitor data trends to proactively identify issues
- Execute data changes and update core systems as needed
- Handle multiple projects and timelines and communicate risks and issues to manager regularly
- Assist with training lower level Data Analysts
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Proficiency in SQL, including experience extracting, organizing, validating, and analyzing complex data, strongly preferred
- Experience working with healthcare data, including claims, encounters, pharmacy, or provider demographic data, strongly preferred
- Experience with Microsoft Excel and Access, including organizing, analyzing, and validating data, preferred
- Experience developing reports, dashboards, or other data solutions in Power BI preferred
- Experience with Snowflake or similar cloud-based data platforms preferred
- Bachelor’s degree’s related field or equivalent experience
- 2+ years of statistical analysis or data analysis experience
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation