Advanced Analytics Consultant

Location: This position will work a hybrid model (remote and office). An ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations listed here: Norfolk, VA; Richmond, VA; Houston, TX; Atlanta, GA; Indianapolis, IN; Chicago, IL; Tampa, FL; West Des Moines, IA.

The Advanced Analytics Consultant 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. Consults business leaders and internal partners to apply the insights to test and drive product innovation and enhancement, to target the right members for the right service, to measure program outcome and demonstrate value, to help win and retain clients, and to support information based strategic decision making.

How you will make an Impact:

• 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.

• Addresses limitation of certain data sources and evaluates incremental value of new data sources.

Minimum Qualifications:

• 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.

Preferred Skills, Experiences and Competencies:

• Report development and requirements gathering in a SQL based environment.

• Statistical Analysis

• Programming (SQL, Python, Jupyter Notebooks, R and/or SAS, Snowflake)

• Familiarity with Bayesian statistics, prior and demonstrated experience with Large Language Modeling; experience supporting operations

• Analysis of Social Determinants of Health/Health Related Social Needs

• Knowledge of USCDI/FHIR/Interoperable Standards

• Experience with developing expert modeling system for segmentation/stratification that supports customized strategies for different customer segments in a major industry highly desirable - healthcare, financial, database/direct marketing, online retails, consulting, etc.

• Substantial analytical experience in healthcare industry preferred.