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Job Description

The Data Analyst III role at Centene centers on Internal Audit Claims analytics, handling data extraction, validation, reporting, and automation support for claims audit processes. This is a remote position based in Missouri with nationwide U.S. eligibility, offering a salary range of USD 70,100 to 126,200 per year.

Responsibilities

  • Support Internal Audit Claims analytics, including recurring claims audit sampling, executive reporting, AuditWell support, Power BI dashboard support, error and CAP trend analysis, and repeatable management-ready analytics.
  • Extract, transform, reconcile, and validate large healthcare claims datasets across enterprise data sources such as 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 and BI tools.
  • Collaborate 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 to support timely resolution.
  • Assist with training and mentoring other Data Analysts.

Requirements

  • Bachelor’s degree in a related field or equivalent experience.
  • 4+ years of statistical analysis or data analysis experience.

Technologies

  • SQL
  • Power BI
  • Excel
  • Snowflake
  • Teradata
  • MS SQL Server
  • C#
  • .NET
  • Python
  • Alteryx

Benefits

  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field, or office schedules

Position Purpose

Responsible for the analytic data needs of the business unit. Manage complex data projects and serve as a lead resource for other Data Analysts. This Internal Audit Claims role supports claims audit execution through sampling, executive reporting, QA and reconciliation, Power BI/dashboard support, automation validation, bot and AI enablement, and repeatable management-ready analytics.

Required Education/Experience

Bachelor’s degree in a related field or equivalent experience. 4+ years of statistical analysis or data analysis experience.

Preferred Skills

  • 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 and report maintenance, refresh validation, access and security coordination, and service-account-based reporting processes.
  • Healthcare claims analytics experience strongly preferred, especially 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 and process-improvement efforts.
  • Ability to translate technical findings into concise, management-ready explanations for audit leadership, business stakeholders, and cross-functional partners.

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