Data Science & Analytics Director- Part-Time

Anticipated End Date:

2025-12-11

Position Title:

Data Science & Analytics Director- Part-Time

Job Description:

Data Science & Analytics Director (Reporting & Analytics Dir)

Location: This role requires associates to be in-office 3 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. The ideal candidate will be located in California.

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

The Data Science & Analytics Director- Part-Time is responsible for creating and maintaining methodologies designed to evaluate and quantify medical providers treating injured workers across a multitude of areas including, but not limited to, length of time off work, type and quantity of medications prescribed, Client UR and State IMR decisions, total duration and cost of care, compliance with MTUS and other industry standards, results of the Complaints & Grievances process, State Medical Board postings, and Anthem Commercial PPO ETG assessments. This person will be responsible for all product outputs currently being sold as Elevance Health Insights to insurance companies, employers, bill review companies and TPA’s. They will also serve as the senior analytic resource and healthcare economics subject matter expert presenting research expertise to current and prospective clients.

How you will make an impact:

• Provides leadership in motivating team members to accomplish reporting and analytics goals and objectives.
• Reports project status and progress to business unit senior management. Ensures accuracy and timeliness of output and deliverables for assigned functional areas.
• Implements the policies, practices, and procedures of the company and business units supported.
• Corrects and normalizes provider license number, claimant information, and physical location of service.
• Assigns level of severity using DxCG software and primary diagnosis to all claims on ongoing basis, as well as return to work expectations.
• Establishes relationships with business users both internal and external to the department.
• Oversees and generates quarterly profile reports (dashboards) for publication.
• Partners with senior leadership to establish strategic plans and objectives.
• Makes final decisions for IM function at the business unit level and ensures operations' effective achievement of objectives.
• Ability to communicate with customers about technical issues in non-technical terms.
• Understands the business processes that the system supports.
• Represent department as subject matter expert to prospective and current clients in areas of provider profiling, MPN composition and healthcare analytics.

Minimum Requirements:

Requires a BA/BS degree and a minimum of 10 years experience leading project teams, or any combination of education and experience, which would provide an equivalent background.
 

Preferred Skills, Capabilities & Experience:

• Experience with statistical analysis software (SAS), data warehousing, and query tools is strongly preferred.
• Knowledge of Workers' Compensation business is strongly preferred.
• Ability to manipulate large sets of data strongly preferred.
• Data science background who can apply sophisticated quantitative and computer science skills to both structure and unstructured data sets preferred.
• Strong analytical, organizational, presentation, and problem-solving skills strongly preferred.
• Deep experience with quantitative discipline, such as applied mathematics or statistics with expert knowledge of statistical and machine learning methods strongly preferred.
• Experience with designing and developing on-demand, web-based reporting suites preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $144,532 to $226,224.

Locations:  California

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 specific position is based on a number of legitimate, non-discriminatory factors set by the company