Data Analyst III, Value Based Payment Initiatives

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: Value-based care is the leading strategy in healthcare transformation and population health management aimed at improving positive health outcomes, advancing quality and ensuring equity in healthcare delivery today. As a data analyst of Value Based Payment initiatives, you will use your analytical skills to assist in the execution of the organization’s Value Based Payment (VBP) strategies. This position will be responsible for working with the VBP team and other cross-functional departments in the management of multiple VBP relationships.

In this Data Analyst III, Value Based Payment role, you will:

• Provide analytical support to enhance VBP model strategies and contracting relationships aimed at reducing avoidable costs and improving health outcomes, in alignment with the New York State Department of Health and Center for Medicare and Medicaid Services’ Value Based Payment programming. Support exploration of additional VBP models across the Fidelis product portfolio.
• Serve as the lead data analyst for contracted Provider Groups, Independent Physician Associations (IPAs), Accountable Care Organizations (ACOs), Hospital and Health Systems and other contracting entities providing utilization insights on population health segments to inform recommendations on opportunities for cost and quality improvement.
• Advance expanded efforts in Social Determinants of Health strategies aimed addressing non-medical factors that influence health outcomes and equity across the delivery system.
• Create and build reporting for multiple data platforms for Fidelis product populations for internal use in Fidelis business decisions and to share with VBP partners. Work closely with the internal IT team to resolve any issues related to the operation of these data platforms.
• Communicate areas of opportunities identified through various reporting efforts with VBP partners. Recommend reporting enhancements based on VBP partner feedback and needs identified through regular use of existing reporting tools.

Education/Experience: Bachelor’s degree in related field or equivalent experience. MBA, MHA, or MPH is preferred. 4 years of statistical analysis or data analysis experience. 1-3 years of relevant healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Proficiency in Microsoft Excel and SQL required. SAS experience and knowledge of Tableau or an equivalent data utilization tool is preferred. Knowledge of population health management, medical expense, and quality performance analysis is preferred.

Please note: This position is remote, but will require some travel to the Long Island City, NY office, as needed.

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