Senior Healthcare Analyst
| Company | Centene |
|---|---|
| Location | Pennsylvania, USA, Delaware, USA, Jackson Township, NJ, USA, Florida, USA, Waterbury, CT, USA, New York, NY, USA, Maryland, USA, North Carolina, USA, Ohio, USA |
| Salary | $68700 – $123700 |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Senior |
Requirements
- Bachelor’s degree in business, finance, public health, health informatics or related field required
- Master’s degree preferred
- Minimum five years related experience
- Minimum two years financial modeling experience required
- Experience in Healthcare analytics of financial/clinical data
- Knowledge of analytical or data mining techniques including data modeling, trend analysis, and root-cause analysis strongly preferred
- Experience using advanced analytical/reporting tools such as R, Python, SAS, SQL, Micro-strategy, Tableau, Hadoop, or related tools strongly preferred
- Managed care experience strongly preferred
- Medical claims (Medicare and Medicaid) experience strongly preferred
Responsibilities
- 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
- Use SQL to query, manipulate, and manage large datasets efficiently
- 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
Preferred Qualifications
- Experience in Healthcare analytics of financial/clinical data, with knowledge of analytical or data mining techniques including data modeling, trend analysis, and root-cause analysis strongly preferred
- Experience using advanced analytical/reporting tools such as R, Python, SAS, SQL, Micro-strategy, Tableau, Hadoop, or related tools strongly preferred
- Managed care experience strongly preferred
- Medical claims (Medicare and Medicaid) experience strongly preferred