Advanced Analytics Consultant - Medical Economics

Anticipated End Date:

2025-08-15

Position Title:

Advanced Analytics Consultant - Medical Economics

Job Description:

Advanced Analytics Consultant - Medical Economics

Location: Chicago, IL (preferred). 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. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within 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.

The Advanced Analytics Consultant employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness, and efficiencies, and client-specific health gaps and needs. Responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to Carelon’s sales and growth team.  Acting as a primary consultant in performance-based pricing arrangements, medical expense savings and target setting, and discussing financial savings tied directly to Carelon’s programs.

How you will make an impact:

• 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.
• 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.
• Leads applied research projects.
• Authors white papers, presents at industry conferences, and submits journal publications.
• Addresses the limitation of certain data sources and evaluates the incremental value of new data sources.

Minimum 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.

Preferred Skills, Capabilities, and Experiences:

• Expertise in advanced statistics, machine learning, data visualization, and data extraction/manipulation techniques.
• Strong understanding of actuarial principles and managed care operations.
• Cost of Care experience highly preferred.
• Excellent problem-solving skills with the ability to think strategically and analytically.
• Exceptional communication skills, both written and verbal, with the ability to convey complex information to non-technical stakeholders.
• Substantial analytical experience in the healthcare industry preferred.
• Advanced expertise with SAS or equivalent analytical tools strongly preferred.
• Comprehensive experience with Teradata, SQL, or equivalent databases strongly preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $120,032 to $180,048

 

Location(s): Chicago, IL

 

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this spe