Claims Health Care Analyst - SQL

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: With the Fidelis Care New York Health Plan, the Health Care Analyst provides claims analytic support to one or multiple departments and develops a variety of complex ad hoc, production and/or trend reports to support business decisions and operational processes for internal and external customers. Financial Analysis Surveillance of Fee Schedule Updates Adhoc Projects Quality Review of Team Members Financial Analysis Fee Schedule Updates (Medicare/Medicaid) Designs, develops, documents and maintains databases to aid reporting and processes Verifies accuracy of data May ensure reports are reviewed for regulatory reporting requirements Supports the development of online management information systems and standardized reports May recommend operational changes or actions based on analytical conclusions Required Education/Experience: Bachelor’s Degree in Statistics, Mathematics, Economics, Business, Accounting or related analytical discipline preferred. Minimum two years experience manipulating and analyzing data from large relational database files. Preferred Skills: Healthcare Claims experience Strong Excel, SQL and Snowflake skills Advanced written and verbal communication skills Fee Schedules (Medicare/Medicaid) experience Pay Range: $55,100.00 - $99,000.00 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email [email protected]. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

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