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.
Position Purpose: Acts as a lead to a team of Business Technical Analysts, coordinates technical training for the Team, provides project tracking/metrics, acts as technical Team liaison with IT and vendors as needed, acts as a cross-functional project lead and provides status reports on Team activities to the Manager. Payer/provider portal experience highly beneficial.
Key Responsibilities:
- Back up for the Senior Manager, Availity Essentials.
- Availity Essentials SME provides business and technical expertise in requirements solicitation, system analysis and design solution.
- Performs review analysis, including accumulation of data, financial & forecast modeling, reporting, and monitoring of responses.
- Escalate hot topics and processes at risk of missing requirements to help keep the analysts and business Teams synchronized.
- Research business problems and creates models that help analyze these business problems.
- Formulates new internal processes and analytical reports to improve information resources.
- Gathers data from departments; update periodic reports; analyze statistical data to identify and correct errors and to evaluate general content.
- Using advanced business unit knowledge, proactively researches requests for assistance and recommends software solutions or process improvements that will meet business needs.
- Conducts accounting-based research and analysis to provide definitive financial data and advice for use in administering specific fiscal programs and processes.
- Develops ad-hoc reports to conduct data analysis and validation.
- Analyzes trends to recommend process and/or operational improvements.
- Research methodologies and conducts advanced metric reporting.
- Evaluates financial impact of implemented initiatives.
- Participates in mentoring analyst within the team to strengthen the team’s knowledge, expertise and flexibility by sharing knowledge of history, background, data, processes and anything relevant to develop Analysts into Subject Matter Experts and broaden their knowledge base.
- Uses raw data from data warehouse to generate reports using statistical tools like SAS.
- Evaluates internal and external customers’ needs and abilities in order to provide appropriate solutions.
- Provides input to business requirements for the design of solutions.
- Explores the data and discovers patterns, meaningful relationships, anomalies and trends.
- Designs Institute-wide “views” and custom reports.
- Performs analysis for a wide range of requests using data in different formats and from various platforms.
- Develops best practices for report deployments.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
Required: a Bachelor's Degree in a related field Computer Science, Data science, Information Technology, Mathematics, Statistics, or Public Health
Required: or equivalent work experience in technical data analysis
Preferred: a Master's degree in a related field, i.e., Mathematics, Computer Science, etc. may be considered in lieu of some of the required experience (not to exceed 2 years)
Candidate Experience:
Required: 5+ years of experience in business technical analysis or similar related role
Preferred: 5+ years of experience in healthcare
Technical Skills:
Preferred: Experience with Healthcare Multi-payer Provider Portals, API knowledge and JIRA
Pay Range: $103,500.00 - $191,600.00 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. Total compensation may also include additional forms of incentives.
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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