Advanced Analytics Consultant – Actuarial Science
| Company | Elevance Health |
|---|---|
| Location | Indianapolis, IN, USA, Miami, FL, USA, Richmond, VA, USA, Chicago, IL, USA, Atlanta, GA, USA |
| Salary | $120032 – $180048 |
| Type | Full-Time |
| Degrees | Master’s, PhD |
| Experience Level | Senior |
Requirements
- 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.
Responsibilities
- Provide expert consult to key business stakeholders and clients on financial results, methodologies, key findings, and recommendations to mitigate unnecessary financial exposure.
- Analyze complex datasets from various sources, including medical claims and managed care operations, to identify growth opportunities and optimize business strategies.
- Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
- Consults on all considerations related to designing and executing tests or pilot programs.
- Contributes to the design of new programs/initiatives 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.
- Generate insights from data analyses to recommend actionable strategies for improving competitive positioning and market share.
- Addresses the limitation of certain data sources and evaluates the incremental value of new data sources.
Preferred Qualifications
- Actuarial sciences background highly preferred.
- Experience with developing expert modeling systems for segmentation/stratification that supports customized strategies for different customer segments in a major industry highly desirable – healthcare, financial, database/direct marketing, online retail, consulting, etc.
- Substantial analytical experience in the healthcare industry preferred.
- Actuarial experience within a healthcare and/or managed care organization preferred.
- Advanced expertise with SAS or equivalent analytical tools strongly preferred.
- Comprehensive experience with Teradata, SQL, or equivalent data databases strongly preferred.
- Expertise in advanced statistics, machine learning, data visualization, and data extraction/manipulation techniques preferred.
- Strong understanding of actuarial principles and managed care operations preferred.
- Exceptional communication skills, both written and verbal, with the ability to convey complex information to non-technical stakeholders preferred.
- Demonstrated ability to manage multiple projects and priorities in a fast-paced environment preferred.