Advanced Analytics Consultant
About the role
This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.
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 refunds.
- 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.
- 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.
Qualifications
Minimum 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.
- 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.
Benefits
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
Pay
The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
Schedule
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.
Contact Information
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 may contact elevancehealthjobssupport@elevancehealth.comfor assistance.