Data Analyst II, Provider Analytics

Position Purpose: Responsible for analytical data needs supporting Provider Network Management and Provider Engagement. Analyze, validate, and interpret healthcare data, including claims, encounters, pharmacy, and provider demographic data, to support provider contract negotiations, unit cost management, and provider quality initiatives. Handle complex data requests, reports, and predictive data modeling.

Key Details: 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.

Proficiency in SQL, including experience extracting, organizing, validating, and analyzing complex data, strongly preferred.

Experience working with healthcare data, including claims, encounters, pharmacy, or provider demographic data, strongly preferred.

Experience with Microsoft Excel and Access, including organizing, analyzing, and validating data, preferred.

Experience developing reports, dashboards, or other data solutions in Power BI preferred.

Experience with Snowflake or similar cloud-based data platforms preferred.

Candidates located in Southern California are strongly preferred. Candidates in other Pacific or Mountain Time Zone locations are also preferred; qualified candidates in other locations will be considered.

• Analyze health management programs including: data collection, validation and outcome measurement. May include financial, pharmacy, claims, provider, and member data; IRS, CMS, HHSC, HEDIS reporting; internal data cleansing and data reconciliation analysis; and trend analysis in various functional areas of health care management.
• Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to core databases (ODS/EDW).
• Produce reports for and interface with senior management and internal and external stakeholders.
• Gather and interpret business requirements and monitor data trends to proactively identify issues.
• Execute data changes and update core systems as needed.
• Handle multiple projects and timelines effectively and communicate risks and issues to manager regularly.
• Assist with training lower level Data Analysts.
• Performs other duties as assigned.
• Complies with all policies and standards.

• Education/Experience: Bachelor’s degree’s related field or equivalent experience.
• 2+ years of statistical analysis or data analysis experience.

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.

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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