Peach State Health Plan · 6 hours ago
Data Analyst IV Claims
United States
Full-time
Remote
Mid, Senior Level
$88K/yr - $158K/yr
6+ years expPeach State Health Plan is part of Centene, a national organization focused on transforming health in communities. The Data Analyst IV Claims role is responsible for handling complex data projects, providing advanced analytical support for business operations, and assisting in driving business decisions based on data.
Health Care
No H1B
Responsibilities
Responsible for analytic data needs of the business unit
Handle complex data projects and acts as a lead for other Data Analysts
Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting
Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources
Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management
Develop reports and deliverables and make recommendations to management
Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools
Assist management in driving business decisions based on data
Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis
Assist with training and mentoring other Data Analysts
Assist with determining work load and related activities for other Data Analysts
Performs other duties as assigned
Complies with all policies and standards
Qualification
Required
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
6+ years of statistical analysis or data analysis experience
Healthcare experience preferred
Experience managing projects or heavy involvement in project implementation
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
Peach State Health Plan
Peach State Health Plan is a Care Management Organization that provides health care services through its provider network. It is a sub-organization of Centene.
201-500 employees
Funding
Current Stage
Growth StageRecent News
HealthCareIT News
2025-11-01
2025-10-28
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