Senior Clinical Analyst

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: As part of Fidelis Care, a subsidiary of Centene, the Senior Clinical Analyst provides analytic support for financial modeling, trend analysis, therapeutic class strategy, and initiative implementation and measurement. Develops custom reports and models used in identifying issues, trends, patterns and relationships to be applied in financial and operational decisions.

*Candidates residing in EST time zone, preferred. The role is fully remote and may have 10% travel.

• 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 by the Strategy Development Committee.

• Develop data analytics solutions using Power BI.

• Use SQL to query, manipulate, and manage large datasets efficiently.

• Presents insights to stakeholders in a clear and actionable format.

• Analyst large datasets to identify trends, patterns, and insights.

• 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 other analysts in producing reports and interpreting data.

Education/Experience:

• Bachelor’s degree in business, finance, public health, health informatics or related field required. Master's degree preferred.

• Minimum five years related experience with minimum two years financial modeling experience required.

• 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, Snowflake, Tableau, Hadoop, or related tools strongly preferred.

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