Predictive Healthcare Economics Analyst

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Position Title:

Job Description:

Predictive Healthcare Economics Analyst

Location: 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.

The Predictive Healthcare Economics Analyst 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.

How you will make an impact:

• Performs established analysis for routine diagnoses of quality use cost and other variables for opportunity assessments.
• Executes identification and stratification algorithm to select the right members for the targeted solution.
• Develops the technical definition of outcome metrics to assess outcomes.
• Performs defined analyses to assess proper outcome metrics for various programs/initiative.
• Builds tests and validates statistical models under supervision.
• Contributes to research and publications by performing basic analyses preparing data and documenting results.
• Understands the pitfalls and limitations with analyzing practical data and the ability to ensure data and analysis quality.
• Basic knowledge of common analytical methods such as profiling a customer segment experimental design and regression analysis.
• Solves well defined analytical problems independently.
• Delivers assignment/projects timely and accurately.
• Collaborates with other analytical team members effectively.
• Presents analyses effectively to analytical audience.
• Possess strong intellectual curiosity and motivated to master analytical skills.

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; or any combination of education and experience which would provide an equivalent background.
• Requires working experience with SAS or equivalents analytical tools Teradata SQL or equivalent database tools and direct experience applying statistical/analytical tools to solve research/practical problems.

Preferred Skills Capabilities and Experiences:

• Substantial analytical experience in the healthcare industry is preferred.
• Actuarial experience within a healthcare and/or managed care organization preferred
• Familiarity with medical management or population health programs preferred.
• Possess working knowledge of healthcare data and measurement standards such as ICD10 CPT/HCPCS MS-DRG DxCG PMPM and utilization per 1000 preferred.
• Advanced SQL and Excel skills preferred.
• Base statistical skills to analyze display describe and summarize data into actionable insights preferred.
• Data visualization experience in QlikSense Business Objects Tableau or other BI tools preferred.
• Excellent organizational analysis planning and communication skills are preferred.
• Ability to participate collaboratively on teams producing complex analyses preferred.

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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 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.