HEDIS Business Analyst IV

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. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. 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.

Education/Experience:

• Bachelor’s degree in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis.
• Strong experience working with raw HEDIS data, including interpretation, validation, and analysis for healthcare quality initiatives strongly preferred.
• Advanced SQL skills, including writing, modifying, and executing queries and scripts to support analysis and reporting strongly preferred.
• Experience developing reports, dashboards, or insights using Power BI or similar business intelligence tools strongly preferred.
• Advanced proficiency in Excel, including data manipulation, analysis, and reporting for large datasets strongly preferred.
• Demonstrated ability to independently analyze data to identify trends, patterns, risks, and opportunities, and proactively question findings to drive business decisions (not limited to reviewing pre-analyzed datasets) strongly preferred.
• Project management experience preferred.

By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $87,700.00 - $157,800.00 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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 Apply tot his job Apply To this Job