Director, HEDIS Reporting and Analytics

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: Directs the organization with the critical information needed to make fact-based decisions, including building a strong business alignment with internal and external customers and providing key internal and external customers with information and analytics. Leads staff in gathering business requirements, preparing logical and physical reporting environments, and completing design, coding, testing and implementation of business intelligence reports. Works closely with other Analytics teams and program groups in providing effective reporting solutions. This Director of Reporting & Analytics provides day-to-day leadership over HEDIS Operations reporting, analytics, account management, and vendor management, ensuring accurate, timely delivery across all health plans.

• Manages day-to-day functions of business and reporting analysts.
• Provides senior leadership team with adequate information to make decisions (both strategic & tactical).
• Analyzes reports, creates trend lines and makes recommendations/explanations.
• Designs and builds utilization management dashboards/reports/models.
• Performs in depth analysis of current trends to enable organization to diagnose and respond to changing competitive landscape.
• Proactively evaluates macro-market data, technology and benchmarks to discern trends, anomalies, and areas of opportunities.
• Works with internal report production teams to evaluate historical performance and forecast future performance.
• Interprets, creates final recommendations and presents the results to key stakeholders.
• Develops and directs the implementation of strategies to substantially improve data processing efficiencies.
• Leads the execution of projects based on predictive analytics, customer segmentation and modeling, ad hoc business analytics and customer behavior reporting in support of internal global business partners.
• Designs, develops and implements analytical models using appropriate data mining and statistical tools, analyze results and work cross-functionally to generate actionable recommendations.
• Identifies and manages outside vendor relationships, where appropriate.
• In partnership with leadership, identifies "what ifs" and improvement opportunities - and then performs analysis to quantify and validate.
• Manages the overall planning, development, and implementation of reporting and analytics programs, products and services, particularly to address the medical service needs of members, network providers, market leadership, and other stakeholders.
• Collaborates with Director, Quality Data Integrity to produce desired reporting for Markets.
• Performs other duties as assigned.

Candidate Education: A Bachelor's Degree in a related field or equivalent work experience. A Master's Degree in a related field preferred.

Candidate Experience: 7+ years of experience in an analytical role supporting business departments required. 5+ years of experience in marketing/customer database analytics such as: analytic segmentation, measurement of strategy development, ROI analysis, modeling, web analysis, etc. required. 3+ years of management experience required. Senior leadership experience in HEDIS Operations reporting and analytics, including hybrid chart chase execution highly preferred.

Licenses and Certifications: Preferred SAS Certified Base Programmer Credential.

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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