Financial Data Analyst (Special Investigations Unit)
Job Description
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:
- This position is responsible for the financial data analytic needs of the enterprise shared services department, Special Investigations Unit (SIU). The position will track and document the SIU retrospective recoveries, accessing the various claims systems and tools. In addition, analyzing accuracy of entries and output used to generate reports and interpret financial data for the department.
In this Financial Data Analyst II role, you will:
- Develop presentations for SIU Investigators
- Enter financial information into the case management tool timely and ensure it has been recorded accurately
- Identify trends in financial recoveries, errors in entries, etc.
- Support team initiatives through financial data analysis of the various systems
- Manage the SIU Recovery mailbox where questions and hardcopy checks are received.
- Update the case tracking management tool with financials when hardcopy checks/EFT payments are received and uploading supporting documents.
- Track claims offset projects and update case management tool adding financials and uploading supporting documents.
- Updating case management tool with follow up activities until full payment received or the provider is no longer actively billing.
- Partner cross-functionally with peers, other team members, and market associates.
- Improve processes to increase efficiency and effectiveness, making decisions on or developing solutions on complex problems.
- Cross train and assist in area training as requested by department management.
- Perform other duties as assigned.
Preferred experience:
- Analyzing data and reporting
- Creating reports using Excel
- Familiar with Managed Care Organizations Claims Processing Systems
- Handling a high degree of confidential and sensitive information
Education/Experience:
- Bachelor's degree in related field or equivalent experience.
- 2+ years of statistical or data analysis experience.
- Experience with financial analysis focused on month end close, government reporting, and financial forecasting. General knowledge of analysis tools, SQL, and Microsoft Applications.
Note: *Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. However, due to the needs of the business, ideal schedule is CST or EST time zones and NY City, Clayton, MO, or Tampa, FL locations preferred.
Pay Range: $54,000.00 - $97,100.00 per year
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.
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Date Posted
03/16/2024
Views
25
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