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.
This is a Remote North Carolina position, candidate must reside in North Carolina. Occasional in-person engagement in our Durham, NC office is required.
Position Purpose: Oversee all reporting and data requirements as defined by the business unit requirements. Serve as primary analytical contact for supporting strategic and operational goals and objectives. Oversee operations for health reporting and encounters.
- Oversee development and processing of various reports, including encounter error corrections, provider network reports, and other reports as required by the State.
- Develop reports to assure data integrity among multiple data sources and works with accountable departments to resolve issues.
- Ensure data integrity and compliance with reporting requirements for various departments, customers, vendors, and/or government agencies.
- Oversee Data Analytics and Reporting department staff and activities including maintenance of data records, reporting and audit data records.
- Manage state data reconciliation process including verifying correct payments and eligibility from the state, and all supplemental files processed between the health plan and the state.
- Create an analytical environment that enhances medical cost decisions to maximize utilization of these tools. Support the business process and systems to ensure integrity of the health economics/data warehouse data.
- Identify process deficiencies and recommend system and process improvements.
- Monitor business unit and/or client performance on various metrics to provide reports and recommendations on emerging trends for appropriate action plans to senior management.
Education/Experience: Bachelor's degree in a related field or equivalent experience. 8+ years of finance, accounting or data analysis experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.
Pay Range: $129,400.00 - $239,300.00 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.
