Note: The job is a remote job and is open to candidates in USA. Centene Corporation is a healthcare organization focused on connecting people to the care they need. The Data Analyst III will support Internal Audit Claims analytics by managing complex healthcare claims data, developing reports and dashboards, validating audit and automation outputs, and communicating findings to management. The role also partners with cross-functional stakeholders and mentors other Data Analysts.
Responsibilities
- Support Internal Audit Claims analytics, including recurring claims audit sampling, executive reporting, AuditWell support, Power BI dashboard support, error/CAP trend analysis, and repeatable management-ready analytics
- Extract, transform, reconcile, and validate large healthcare claims datasets across enterprise data sources, including claims, provider, member, financial, operational, and audit-related data
- Perform structured QA, reconciliation, tie-outs, and validation of claims audit reporting, sampling outputs, dashboards, automation results, and executive-ready deliverables
- Develop and maintain recurring reports, dashboards, and analytical deliverables using SQL, Power BI, Excel, Snowflake, Teradata, MS SQL Server, or similar data warehouse / business intelligence tools
- Partner with audit, data analytics, IT, and business stakeholders to translate reporting, sampling, and automation needs into repeatable data processes, documentation, and validated outputs
- Support automation, bot, AI, and process-improvement initiatives through requirements translation, testing support, output validation, documentation, and controlled implementation
- Identify data issues, trends, process gaps, and reporting improvement opportunities; communicate findings clearly to management and support timely resolution
- Assist with training and mentoring other Data Analysts
Skills
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Bachelor's degree in related field or equivalent experience
- 4+ years of statistical analysis or data analysis experience
- Advanced SQL experience, including extracting, joining, reconciling, and validating large datasets from enterprise data warehouse environments
- Power BI experience, including Power BI Desktop, Power BI Service, workspace/report maintenance, refresh validation, access/security coordination, and service-account-based reporting processes
- Healthcare claims analytics experience strongly preferred, especially experience with post-pay claims data, claims processing systems, audit/compliance reporting, or quality review processes
- Experience with Snowflake, Teradata, MS SQL Server, EDW, or similar enterprise data platforms
- Strong data quality and reconciliation mindset, including structured tie-outs, report validation, issue documentation, and validation of automated reporting outputs
- Experience supporting automation, ETL, API-based processes, C#, .NET, Python, Alteryx, or similar workflow/process-improvement efforts preferred
- Ability to translate technical findings into concise, management-ready explanations for audit leadership, business stakeholders, and cross-functional partners
Benefits
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- A flexible approach to work with remote, hybrid, field or office work schedules
Company Overview