Teams at Centene Corporation

Lead analytics for Internal Audit Claims: extract, transform, reconcile, and validate large claims datasets; build and maintain Power BI reports/dashboards; perform QA and tie-outs; support automation, bots/AI enablement, and executive reporting; mentor other analysts and partner with audit, IT, and business stakeholders to deliver repeatable, validated analytics.

Supports healthcare quality improvement projects, reporting, audits, and medical record reviews. Analyzes and trends quality results, prepares management and ad hoc reports, develops improvement plans, trains providers and staff, responds to inquiries, and participates in meetings with state agencies and stakeholders. The role requires knowledge of HEDIS, audit processes, and quality improvement methodologies, with three or more years of related experience.

Leads business strategy transformation by identifying improvement opportunities, assessing capability gaps, designing solutions, developing business cases, and governing business architecture. Elicits and documents requirements, facilitates workshops, coordinates cross-functional initiatives, and supports launches and process improvements. Maintains architecture models, tracks expected versus realized business value, and advises senior leadership on strategies and outcomes.