Advanced Analytics Analyst Senior - Cost of Care

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.

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 related 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.

Job Level: Non-Management Exempt

Workshift: 1st Shift (United States of America)

Job Family: RDA > Reporting & Data Analysis

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.