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Centene CorporationCC

HEDIS Business Analyst IV

Centene Corporation is a leading healthcare enterprise committed to transforming the health of communities through high-quality and affordable healthcare solutions.

Centene Corporation

Employee count: 1001-5000

Salary: 88k-158k USD

United States only

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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.

Requirements

  • Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
  • Position Purpose: Perform and lead various analysis and interpretation of complex data to link business needs and objectives for assigned functions, with a strong emphasis on healthcare quality and HEDIS data and implement process and performance improvements.
  • Lead the support of business initiatives through hands on data analysis, identification of implementation barriers and user acceptance testing of various systems.
  • Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes.
  • Independently analyze raw datasets to identify trends, risks, gaps, and opportunities, translating findings into actionable business recommendations (not solely reviewing pre-analyzed data).
  • Resolve issues and identify opportunities for process redesign and improvement through quantitative analysis and root cause investigation.
  • Perform detailed analysis on multiple projects; recommend data backed business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements.
  • Evaluate risks and concerns, including data integrity and performance impacts, and communicate findings to management.
  • 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 and analytical workflows.
  • Oversee all changes to departmental policies and procedures, including communicating and implementing the changes.
  • Serve as the subject matter expert on the assigned function product to ensure operational performance.
  • Ability to travel.

Benefits

  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible work schedule (remote, hybrid, field or office work schedules)

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 88k-158k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Centene Corporation

Learn more about Centene Corporation and their company culture.

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Centene Corporation is a leading healthcare enterprise dedicated to transforming the health of the communities it serves, one person at a time. Founded in 1984, Centene operates as a Managed Care Organization that provides access to high-quality healthcare solutions. The company serves a diverse population of over 28 million members across the United States by offering affordable and comprehensive healthcare services tailored to the unique needs of each individual. With a strong focus on Medicaid, Medicare, and the Health Insurance Marketplace, Centene remains committed to improving healthcare outcomes while ensuring that its programs are culturally sensitive and responsive to the communities served.

Centene's evolution began as a nonprofit Medicaid plan in Milwaukee, Wisconsin, founded by Elizabeth "Betty" Brinn, a former hospital bookkeeper who recognized the challenges faced by low-income individuals in accessing adequate healthcare. Under the leadership of CEO Sarah M. London, the company has expanded its reach through organic growth and strategic acquisitions, reaffirming its position as the largest Medicaid managed care organization in the U.S. Furthermore, Centene emphasizes local healthcare delivery by employing professionals who reflect the diversity of the populations they serve, ensuring individuals receive personalized care that meets their needs. Centene is also dedicated to corporate sustainability, focusing on removing health-related barriers and enhancing health equity through its community-driven initiatives.

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Centene Corporation

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