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Centene Corporation Senior Director, Healthcare Analytics in Indianapolis, Indiana

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

The Senior Director, Clinical Informatics leads analytic service delivery by aligning strategic objectives with the development of tools and capabilities and appropriate deployment of supporting analytic teams. The Director serves in a leadership function spanning the needs of multiple health plan and business partners and partners across functional areas to deliver best-in-class analytic services.

  • Responsible for all Clinical and Provider reporting

  • Participate in the administration of Value Based Contracts and participate in Joint Operating Committee meetings to review Provider/Clinical performance.

  • This position will be key in the implementation of the Cedar Gate program and hitting the expected ROI in the AOP

  • Prioritize and direct the planning and execution of enterprise-wide analytics projects and strategic initiatives, supporting the translation of business goals into actionable solutions

  • Provide senior leadership support and partnership to development efforts between business and technical partners

  • Interface with health plan and corporate executive leadership to ensure effective communication and visibility of strategic intent to analytic teams

  • Prioritize team work and manage executive customer expectations and relationships

  • Maintain alignment of team goals and resource deployment with strategic objectives and the business needs of multiple health plans and corporate stakeholders

  • Serve as a primary domain contact as well as key point of escalation and accountability to ensure customer partnership and satisfaction

  • Collaborate with leaders across analytic domains to ensure strong partnerships, align all business needs, leverage cross-functional skills, and co-develop valuable analytic solutions

  • Mentor, manage, and ensure the continuous development of a team of leaders and analysts

Our Comprehensive Benefits Package:

  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility

  • Competitive pay

  • Paid Time Off including paid holidays

  • Health insurance coverage for you and dependents

  • 401(k) and stock purchase plans

  • Tuition reimbursement and best-in-class training and development

Education/Experience:

  • Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field.

  • Master's degree preferred.

  • 8+ years of experience in healthcare analytics experience leading an organization, creating strategic plans, and operationalizing functional teams in direct relation to meeting business needs or realizing goals tied to strategic objectives. Direct experience in strategic planning and solutioning preferred.

  • Broad exposure and understanding of statistical, analytical, or data mining techniques and appropriate application of these capabilities in a business performance environment preferred.

  • Working knowledge of analytical tools, including R, Python, SAS, ArcGIS, QGIS, Microstrategy, Tableau, Hadoop, or related tools preferred.

Provider

Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data science, or geospatial/reimbursement analysis preferred

Clinical

Experience in public health (epidemiology, biostatistics), population health, social determinants of health, data science, social science, or geospatial/ROI/financial analysis preferred

Finance

Experience working closely with accounting & finance business partners, using analytic techniques & tools to explore financial performance trends, or regulatory reporting with external agencies preferred; Familiarity with claims data, utilization, rate setting, risk adjustment, or member eligibility and reconciliation preferred

Fraud, Waste & Abuse

Experience in fraud/waste/abuse identification and investigation, provider billing, or clinical coding preferred; Experience with data mining, machine learning, artificial intelligence, or statistical modeling preferred

Risk Adjustment

Experience in risk adjustment, clinical coding, financial reporting/analysis, or CMS/State encounters and regulatory file submissions preferred; Experience with data mining, population health, and statistical modeling preferred

Quality

Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred; Quality auditing or analysis of call center performance preferred; Experience with data mining, population health, and statistical modeling preferred

Tools & Technology

Experience with report/dashboard development, data/report automation, self-service capabilities, data design and integration, or data quality and governance preferred

  • For MHS - Indiana only: RN license or Bachelor's degree in Healthcare Informatics.

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.

TITLE: Senior Director, Healthcare Analytics

LOCATION: Indianapolis, Indiana

REQNUMBER: 1254155

COMPANY: Corporate & Professional services

POSITION TYPE: Both

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