Advanced Analytics Analyst Senior - Cost of Care
Location: Seven Fields, PA; Atlanta, GA; Norfolk, VA; Indianapolis, IN; Cincinnati, OH; Grand Prairie, TX (preferred). 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
PLEASE NOTE: This position is not eligible for current or future visa sponsorship.
The Advanced Analytics Analyst Senior creates statistical models to predict, classify, quantify, and/or forecast business metrics. The Advanced Analytics Analyst Senior will be responsible for analyzing healthcare cost data, identifying trends, and developing strategies to enhance cost efficiency.
How you will make an impact:
Prepares analytical data sets in support of modeling studies. Build, test, and validate statistical models.
Publishes results and addresses constraints/limitations with high-level business partners.
Proactively collaborates with business partners to determine identified population segments.
Trend analytics to identify patterns and predict future trends related to patient care, healthcare costs, and public health.
Statistical Analysis and forecasting of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions.
Analyzing health data to understand past trends, predict future trends, and make informed decisions to improve patient outcomes and optimize resource allocation.
Medical economics reporting and ad-hoc analysis relating to cost of care management.
Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables.
Minimum Requirements:
Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, and constructing robust and efficient analytical data sets strongly preferred.
In-depth understanding of healthcare dynamics, including service delivery, reimbursement models, and payer systems preferred.
Experience in healthcare finance or healthcare actuarial analytics preferred.
Substantial analytical experience in the healthcare industry preferred.
Advanced SQL & SAS skills.
Oracle Exadata experience preferred.
Familiarity with AI/ML frameworks.
Additional skills for success are Python, Informatica, Tableau, and/or Power BI.
Experience in using Agile estimation techniques such as Planning Poker, T-shirt Sizing, or the Fibonacci sequence to provide relative estimates releated to Cost of Care.
The ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, and to communicate with strong written and verbal communication skills.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
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.
How We Work
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.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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.
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.com for assistance.
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.
