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Data Analytics/Data Science Analyst

2 months ago

Indianapolis, Indiana, United States Elevance Health Full time

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:
Chicago, IL; Indianapolis, IN; St. Louis, MO.

At Carelon Medical Benefits Management/Post Acute Services (MBM/PAS) , a proud member of the Elevance Health, Inc.

family of companies, it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities.


The Data Analytics/Data Science Analyst is responsible for analyzing, reporting and developing recommendations on data related to complex and varied business metrics.

Typically provides technical assistance to lower level staff.

How You Will Make An Impact

  • Obtain, verify, analyze, and model financial target outcomes such as return-on-investment (ROI) and payback periods using claims and authorization data.
  • Lead and/or actively participate in new solution strategy sessions with Carelon MBM/PAS medical directors and Solution Design consultants.
  • Partner with Actuarial team members to validate cost model outcomes, savings modeling assumptions, and ROI recommendations.
  • Identify medical cost, service utilization, service intensity, unit cost, and membership trends to identify new opportunities for product expansion.
  • Understand cost levers of Carelon MBM/PAS services and make recommendations on program design.
  • Accountable for developing a measurement system to assess financial performance of new solutions following implementation.
  • Ensure that cost and saving model assumptions are tracking with actual solution performance.
  • Structure and perform independent analyses and package findings for executive level stakeholders.
  • Conduct exploratory research on medical finance and cost-of-care outcomes by publishing key cost trends and benchmarks.
  • Analyzes data and summarizes performance using summary statistical procedures.
  • Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
  • May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.
  • Establish actuarially-sound cost modeling and forecasting methodologies that accurately assess future business performance across new go-to-market solutions and capabilities.
  • Use SQL, Excel, PowerPoint, and other tools to transform data into insights and report findings to internal and external business partners.
Minimum Qualifications

  • Requires a BS/BA degree in related field and a minimum of 3 years data analysis or related experience; or any combination of education and experience which would provide an equivalent background.
Highly Preferred Skills, Experiences And Competencies

  • Advanced SQL and Excel skills strongly preferred.
Preferred Skills, Experiences And Competencies

  • Intellectual curiosity, superior data mining skills, and the ability to distill financial impacts and levers and communicate them to non-technical audiences.
  • Previous experience solving complex, medical cost-related problems using large healthcare data sets.
  • Proven ability to empower analytics-driven business decisions, experience applying statistical concepts, data visualization skills, knowledge of medical claims data, and/or actuarial experience.
  • Familiarity with medical management or population health programs is highly desired.
  • Possess working knowledge of healthcare data and measurement standards such as ICD10, CPT/HCPCS, MS-DRG, DxCG, PMPM, and utilization per 1,000.
  • Snowflake, R or Python a plus.
  • Base statistical skills to analyze, display, describe and summarize data into actionable insights.
  • Data visualization experience in QlikSense, Business Objects, Tableau, or other BI tools is a plus.
  • Excellent organizational, analysis planning, and communication skills is critical.
  • Ability to participate collaboratively on teams producing complex analyses.
  • Healthcare Analytics consulting experience highly desired.

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