Elevance Health
Senior Health Economist - Managed Care
Elevance Health, Washington, District of Columbia, us, 20022
Senior Health Economist - Managed Care
Location : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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 law. PLEASE NOTE: This position is not eligible for current or future visa sponsorship. Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.
The Senior Health Economist (Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims, authorization, and membership data to tell a detailed story to respective business stakeholders. The Senior Health Economist creates statistical models to predict, classify, quantify, and/or forecast business metrics. Design modeling studies to address specific business issues determined by consultation with business partners.
How you will make an impact:
Prepares analytical data sets in support of modeling studies. Build, test, and validate statistical models.
Publishes results and addresses constraints/limitations with high-level business partners.
Proactively collaborates with business partners to determine identified population segments.
Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables.
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:
Actuarial sciences background highly preferred.
Utilization Management experience preferred.
Medical economics, provider finance, healthcare analytics, and/or financial services highly preferred.
Comprehensive understanding of medical claims data.
Intermediate to Advanced expertise with SQL, SQL Server, Teradata, or equivalent strongly preferred.
Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, and constructing robust and efficient analytical data sets strongly preferred.
Significant experience in a 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 communication skills, and to present to large multi-disciplinary audiences regularly strongly preferred.
Salary and Location : The salary range for this position is $84,740 to $160,560. Locations include California, Colorado, District of Columbia (Washington, DC), Illinois, Minnesota, New York, Washington State.
Benefits and Policies : Elevance Health offers a comprehensive benefits package and related programs. The salary offered is based on legitimate, non-discriminatory factors and is governed by applicable pay equity laws. Elevance Health is an Equal Employment Opportunity employer.
Note: The salary range is the range Elevance Health believes is the range of possible compensation at the time of posting. This range may be modified in the future and actual compensation may vary based on location, experience, education, and skill level. Any bonuses, commissions, benefits, or other compensation are at the Company’s sole discretion unless required by law.
Resumes: Elevance Health accepts resumes directly and may require signed agreements with agencies as applicable.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company looking for leaders who are passionate about making an impact on our members and the communities we serve.
How We Work
We are creating a culture designed to advance our strategy and support personal and professional growth. Our values and behaviors are foundational to our culture and drive our strategy, outcomes, and shared success.
We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, incentive programs, and core benefits (medical, dental, vision, disability, 401(k) with match, stock purchase plan, life insurance, wellness programs, and financial education resources).
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 onsite expectations will be discussed during the hiring process.
The health of our associates and communities is a top priority. We require all new candidates in patient/member-facing roles to be vaccinated against COVID-19 and Influenza, with exceptions as required by law.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration regardless of age, citizenship status, color, creed, disability, ethnicity, genetic information, gender, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status protected by law. Applicants who require accommodation may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with relevant laws.
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Location : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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 law. PLEASE NOTE: This position is not eligible for current or future visa sponsorship. Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.
The Senior Health Economist (Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging claims, authorization, and membership data to tell a detailed story to respective business stakeholders. The Senior Health Economist creates statistical models to predict, classify, quantify, and/or forecast business metrics. Design modeling studies to address specific business issues determined by consultation with business partners.
How you will make an impact:
Prepares analytical data sets in support of modeling studies. Build, test, and validate statistical models.
Publishes results and addresses constraints/limitations with high-level business partners.
Proactively collaborates with business partners to determine identified population segments.
Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables.
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:
Actuarial sciences background highly preferred.
Utilization Management experience preferred.
Medical economics, provider finance, healthcare analytics, and/or financial services highly preferred.
Comprehensive understanding of medical claims data.
Intermediate to Advanced expertise with SQL, SQL Server, Teradata, or equivalent strongly preferred.
Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, and constructing robust and efficient analytical data sets strongly preferred.
Significant experience in a 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 communication skills, and to present to large multi-disciplinary audiences regularly strongly preferred.
Salary and Location : The salary range for this position is $84,740 to $160,560. Locations include California, Colorado, District of Columbia (Washington, DC), Illinois, Minnesota, New York, Washington State.
Benefits and Policies : Elevance Health offers a comprehensive benefits package and related programs. The salary offered is based on legitimate, non-discriminatory factors and is governed by applicable pay equity laws. Elevance Health is an Equal Employment Opportunity employer.
Note: The salary range is the range Elevance Health believes is the range of possible compensation at the time of posting. This range may be modified in the future and actual compensation may vary based on location, experience, education, and skill level. Any bonuses, commissions, benefits, or other compensation are at the Company’s sole discretion unless required by law.
Resumes: Elevance Health accepts resumes directly and may require signed agreements with agencies as applicable.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company looking for leaders who are passionate about making an impact on our members and the communities we serve.
How We Work
We are creating a culture designed to advance our strategy and support personal and professional growth. Our values and behaviors are foundational to our culture and drive our strategy, outcomes, and shared success.
We offer a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, incentive programs, and core benefits (medical, dental, vision, disability, 401(k) with match, stock purchase plan, life insurance, wellness programs, and financial education resources).
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 onsite expectations will be discussed during the hiring process.
The health of our associates and communities is a top priority. We require all new candidates in patient/member-facing roles to be vaccinated against COVID-19 and Influenza, with exceptions as required by law.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration regardless of age, citizenship status, color, creed, disability, ethnicity, genetic information, gender, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status protected by law. Applicants who require accommodation may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with relevant laws.
#J-18808-Ljbffr