Centene Corporation
Transforming the health of the communities we serve, one person at a time.
Business Analyst III, Medicare VBC
Location
Florida
Posted
4 days ago
Salary
$70.1K - $126.2K / year
Bachelor Degree4 yrs expEnglishSQL
Job Description
• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Deliver analytics and reporting for local and national Value Based Care (VBC) provider groups
• Leverage corporate Power BI tools to export, analyze, and visualize: Financial performance, Quality outcomes, Risk adjustment metrics and Membership data
• Translate data into insights to support corporate leadership, health plan leadership, and provider partners
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Coordinate with various business units and departments in the development and delivery of training programs
• Develop, share, and incorporate organizational best practices into business applications
• Diagnose problems and identify opportunities for process redesign and improvement
• Formulate and update departmental policies and procedures
• Serve as the subject matter expert on the assigned function product to ensure operational performance
• Ability to travel
• Performs other duties as assigned
Job Requirements
- Bachelor’s degree in related field or equivalent experience
- 4+ years of business process analysis (i.e. documenting business process, gathering requirements)
- Experience in healthcare industry, preferably with managed care techniques and administrative philosophy
- Experience in managed health care experience, preferably with Medicare
- Experience working with and leading diverse teams in matrix managed environments
- Project management experience preferred
- Advanced proficiency in Microsoft Excel and Power BI preferred
- Experiencing leveraging SQL, SAS to access enterprise data warehouses preferred
- Strong experience in understanding provider performance metrics, including Stars, HBR, Risk Score, Compliance rates, and APV rates preferred
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules