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Elevance Health

Sells health insurance and pharmacy benefits

Healthcare Outcomes Research Analyst - Business Information Consultant

Data SciencePosted on Nov 9
Full-time

About the Job

Requirements

  • A Bachelor of Science or Bachelor of Arts degree in a related field and at least 5 years of experience, or an equivalent combination of education and experience.
  • Experience working with medical and/or pharmacy claims data, including longitudinal analyses of healthcare utilization and costs, is highly preferred.
  • Experience in health economics and outcomes research, real-world evidence, or healthcare program evaluation is highly preferred.
  • Experience with additional causal inference methodologies, including inverse probability weighting, interrupted time series, or other quasi-experimental methods, is highly preferred.
  • Experience with predictive modeling or machine learning techniques is highly preferred.
  • Familiarity with healthcare payer, pharmacy benefit management, or managed care environments is highly preferred.
  • A master's degree in Statistics, Biostatistics, Epidemiology, Health Economics, Data Science, Public Health, or a related quantitative discipline is preferred.

Responsibilities

  • Design and conduct retrospective observational studies to evaluate the clinical and financial impact of healthcare and pharmacy programs using large-scale medical and pharmacy claims data.
  • Apply statistical methodologies, including propensity score matching, difference-in-differences, regression analysis, and risk adjustment, to assess program effectiveness, healthcare utilization, and outcomes.
  • Develop analytical study designs, including identification of study populations, comparison groups, baseline and follow-up periods, outcome measures, and statistical approaches.
  • Extract, integrate, manipulate, and analyze healthcare datasets, including medical claims, pharmacy claims, and member eligibility data.
  • Develop, modify, and maintain statistical programs using Python, R, and/or SAS, with an emphasis on transitioning analytical workflows to Python and R.
  • Conduct data validation, statistical testing, and sensitivity analyses to ensure the accuracy, reliability, and appropriate interpretation of analytical findings.
  • Analyze healthcare utilization, medical and pharmacy costs, and clinical outcomes to evaluate program performance and identify opportunities for improvement.
  • Collaborate with clinical, pharmacy, and business stakeholders to translate business questions into analytical approaches and actionable insights.
  • Develop research summaries, presentations, and reports to communicate study methodologies, findings, and recommendations to internal leadership, external clients, and other stakeholders.
  • Support advanced analytics initiatives, including predictive modeling, as business needs evolve.
  • Create and maintain databases to track business performance.
  • Analyze data and summarize performance using summary statistical procedures.
  • Develop and analyze business performance reports, including claims, provider, and utilization data, and note performance deviations and anomalies.
  • Create and publish periodic reports and necessary ad hoc reports.
  • Manage business issues and determine appropriate diagnostic and tracking data to translate business requirements into usable decision-support tools.

About the Company

Elevance Health

Sells health insurance and pharmacy benefits

Elevance Health is one of the largest U.S. health insurers, covering people through employers, individual plans, Medicare and Medicaid. It is the Blue Cross Blue Shield licensee in 14 states, where it sells plans under the Anthem name, and it runs government plans under the Wellpoint name in other markets. Its Carelon division runs the CarelonRx pharmacy benefit manager and sells behavioral health, care management and other services to its own plans and outside clients. Elevance earns most of its revenue from premiums paid by employers, members and government programs, plus fees for Carelon services. The company is headquartered in Indianapolis, Indiana.

Company size
10,001+
Company stage
IPO
Headquarters
Indianapolis, IN
Founded
1944

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