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About the Role

The Advanced Analytics Consultant employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness and efficiencies, client specific health gaps and needs. Consults business leaders and internal partners to apply the insights to test and drive product innovation and enhancement, to target the right members for the right service, to measure program outcome and demonstrate value, to help win and retain clients, and to support information based strategic decision making.

Responsibilities

Provides analytical insights to support business solution development based on quality, use, cost and other key drivers.
Develops and refines analysis templates for problem diagnosis and opportunities assessment.
Consults on all considerations related to designing and executing tests or pilot programs.
Contributes to the design of new program/initiative based on test/pilot outcomes.
Develops targeting criteria or customer segmentation based on analytical insights, clinical inputs, product design and operations considerations.
Develops predictive models and other tools that help target the right members.
Develops methodology to measure clinical, utilization and financial outcomes of a program/initiative.
Conducts in-depth research to address challenging issues in measuring outcomes.
Leads applied research projects; authors white papers, presents at industry conferences and submits journal publications.
Addresses limitation of certain data sources and evaluates incremental value of new data sources.
Manages custom ASO client business definitions thru Rule committee approval, intake submission, and implementation on rules engine.
Produces custom financial models for ASO clients to support impact analysis of operational errors and potential refund.
Supports multiple new strategic projects such as Agora, NCPDP F6, AI BI, etc.

Requirements

Requires MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research and a minimum of 5 years experience in related health care analytics; or any combination of education and experience which would provide an equivalent background.

Skills

PhD preferred.
Experience with developing expert modeling system for segmentation/stratification that supports customized strategies for different customer segments in a major industry highly preferred - healthcare, financial, database/direct marketing, online retails, consulting, etc.
Substantial analytical experience in healthcare industry preferred.
Advanced expertise with Databricks or equivalent analytical tools and comprehensive experience with Teradata, SQL, or equivalent data base tools strongly preferred.

Location

California
Colorado
Illinois
New Jersey
Las Vegas
New York
Washington State
Virginia

Work Type

Hybrid
1st Shift

Experience Level

Minimum of 5 years experience in related health care analytics

Education Level

MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research

Salary/Compensations

$111,520 to $200,736

Benefits

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources

About the Company

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
Our values and behaviors are the root of our culture.
They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
Elevance Health operates in a Hybrid Workforce Strategy.
Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health.
We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza.
If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.
Elevance Health will also follow all relevant federal, state and local laws.

Equal Opportunity

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.