
Cost of Care Analyst
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Seven Fields • Missouri • Pennsylvania • United States
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Tech Stack
About the role
- Employs advanced analytics to gain critical insights into member behavior drivers and preferences
- Consults business leaders and internal partners to apply the insights to test and drive product innovation and enhancement
- Develops and refines analysis templates for problem diagnosis and opportunities assessment
- Contributes to the design of new programs/initiatives based on test/pilot outcomes
- Develops targeting criteria or customer segmentation based on analytical insights
- Develops predictive models and other tools that help target the right members
- Conducts in-depth research to address challenging issues in measuring outcomes
- Leads applied research projects
- Authors white papers and presents at industry conferences
Requirements
- MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research
- Minimum of 5 years experience in related health care analytics
- Experience performing trend analysis to identify patterns in healthcare costs over time
- In-depth understanding of healthcare dynamics, including service delivery, reimbursement models, and payer systems
- Experience in healthcare finance or healthcare actuarial analytics
- Substantial analytical experience in the healthcare industry
- Advanced SQL skills
- Advanced SAS skills
- Familiarity with AI/ML frameworks
- Skills for success: Python, Informatica, Tableau, and/or Power BI
- Experience in using Agile estimation techniques such as Planning Poker, T-shirt Sizing, or the Fibonacci sequence
- Ability to present meaningful results to a business audience
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
advanced analyticspredictive modelingtrend analysisSQLSASPythonInformaticaTableauPower BIAgile estimation techniques
Soft Skills
consultationproblem diagnosispresentation skillsleadershipresearch skills
Certifications
MSMAPhD