Network Cost of Care Analyst Consultant

Elevance Health • Durham, NC

3d • Hybrid

About The Position

The Network Cost of Care Analyst Consultant (Advanced Analytics Consultant) employs advanced analytics to gain critical insights into member and/or provider behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness, and efficiencies, and client-specific health gaps and needs. Consults business leaders and internal partners to apply the insights to test and drive provider innovation and enhancement, to target the right provider partners to ensure the members receive the right high quality service, measure program outcomes and demonstrate value, help win and retain clients, and support information-based strategic decision-making.

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.

Nice To Haves

• Substantial analytical experience in the healthcare industry preferred.
• In-depth understanding of healthcare dynamics, including value based payment arrangements and network analytics.
• Substantial analytical experience in the healthcare industry preferred.
• Experience with Snowflake data platform.
• Additional skills for success are Python, Informatica, Tableau, and/or Power BI.
• 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, and to communicate with strong written and verbal communication skills.

Responsibilities

• Provides analytical insights to support business solution development based on quality, use, cost, and other key drivers.
• Develops and refines analysis templates for problem diagnosis and opportunities assessment.
• 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.
• Proactively collaborates with business partners to determine identified population segments.
• Trend analytics to identify patterns and predict future trends related to value based payment data, and healthcare costs.
• Provides analytical support for network strategies.
• Statistical analysis and forecasting of trends in network analytics.
• Conducts in-depth research to address challenging issues in measuring outcomes.
• Addresses the limitation of certain data sources and evaluates the incremental value of new data sources.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Ph.D. or professional degree
• Number of Employees: 5,001-10,000 employees