Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Business Analyst III, Medicare VBC

Full TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

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

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