Advanced Analytics Analyst Senior

Location: This position will work a hybrid model (remote and in office 1 – 2 days per week). Candidates must live within 50 miles of one of Elevance’s Pulse Point locations.

The Advanced Analytics Analyst Senior is responsible for creating statistical models to predict, classify, quantify, and/or forecast business metrics, while designing model studies to address specific business issues determined by consultation with business partners.

How you will make an impact:

•    Creates and maintains databases to track business performance.
•    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.
•    Creates and publishes periodic reports, as well as any necessary ad hoc reports.
•    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.
•    May make recommendations based upon data analysis.
•    Prepares analytical data sets in support of modeling studies.
•    Build, test, and validate statistical models.
•    Publishes results and address constraints/limitations with high level business partners.
•    Proactively collaborates with business partners to determine identified population segments and develop actionable plans to enable the identification of patterns related to quality, use, cost and other variables.
•    Develops rule-based algorithms to support value-based programs.
•    This position will also design various analyses for stakeholders using Snowflake database to analyze cost of care and various valued metrics key to the organization.

Minimum Requirements:

Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience  which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

•    Knowledge of HEDIS measures and prior experience building clinical metrics preferred.
•    Prior experience using SQL strongly preferred
•    Knowledge of Clinical Query Language (CQL) is preferred.
•    Excellent problem solving skills and ability to derive meaningful insights leveraging data preferred.
•    Working efficiently with a team environment and able to work effectively in cross functional activities preferred.
•    Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, constructing robust and efficient analytical data sets strongly preferred.
•    Significant experience in healthcare related field strongly preferred.
•    The ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, to communicate with strong written and verbal communications skills, and to present to large multi-disciplinary audiences on a regular basis strongly preferred.