Data Science

Job Description :Data Science & Analytics Director (Reporting & Analytics Dir)Location: This role requires associates to be in-office 3 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. The ideal candidate will be located in California.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 lawThe Data Science & Analytics Director- Part-Time is responsible for creating and maintaining methodologies designed to evaluate and quantify medical providers treating injured workers across a multitude of areas including, but not limited to, length of time off work, type and quantity of medications prescribed, Client UR and State IMR decisions, total duration and cost of care, compliance with MTUS and other industry standards, results of the Complaints & Grievances process, State Medical Board postings, and Anthem Commercial PPO ETG assessments. This person will be responsible for all product outputs currently being sold as Elevance Health Insights to insurance companies, employers, bill review companies and TPA’s. They will also serve as the senior analytic resource and healthcare economics subject matter expert presenting research expertise to current and prospective clients.How you will make an impact: Provides leadership in motivating team members to accomplish reporting and analytics goals and objectives.Reports project status and progress to business unit senior management. Ensures accuracy and timeliness of output and deliverables for assigned functional areas.Implements the policies, practices, and procedures of the company and business units supported.Corrects and normalizes provider license number, claimant information, and physical location of service.Assigns level of severity using DxCG software and primary diagnosis to all claims on ongoing basis, as well as return to work expectations.Establishes relationships with business users both internal and external to the department.Oversees and generates quarterly profile reports (dashboards) for publication.Partners with senior leadership to establish strategic plans and objectives.Makes final decisions for IM function at the business unit level and ensures operations' effective achievement of objectives.Ability to communicate with customers about technical issues in non-technical terms.Understands the business processes that the system supports.Represent department as subject matter expert to prospective and current clients in areas of provider profiling, MPN composition and healthcare analytics.Minimum Requirements:Requires a BA/BS degree and a minimum of 10 years experience leading project teams, or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities & Experience:Experience with statistical analysis software (SAS), data warehousing, and query tools is strongly preferred.Knowledge of Workers' Compensation business is strongly preferred.Ability to manipulate large sets of data strongly preferred.Data science background who can apply sophisticated quantitative and computer science skills to both structure and unstructured data sets preferred.Strong analytical, organizational, presentation, and problem-solving skills strongly preferred.Deep experience with quantitative discipline, such as applied mathematics or statistics with expert knowledge of statistical and machine learning methods strongly preferred.Experience with designing and developing on-demand, web-based reporting suites preferred.For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $144,532 to $226,224.Locations: CaliforniaIn addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.Job Level:Director EquivalentWorkshift:1st Shift (United States of America)Job Family:RDA > Reporting & Data AnalysisPlease 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 AreElevance 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 WorkAt 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.