Anthem, Inc. Advanced Analytics Consultant in Norfolk, Virginia
SHIFT: Day Job
Clinical Solutions Finance is seeking an experienced Advanced Analytics Consultant to support our mission of evaluating the performance of Anthem’s value based payment models, clinical and care management programs, and vendor-based solutions. Our team employs advanced analytics and best practices in health services research 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. We consult business leaders and internal partners to apply the insights to test and drive product innovation and enhancement, to target the right members for the right program, to measure program outcomes and demonstrate value, to help win and retain clients, and to support information based strategic decision-making.
Primary duties of this role may include, but are not limited to:
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 program/initiative based on test/pilot outcomes
Develops targeting criteria or customer segmentation based on analytical insights, clinical inputs, product design and operations consideration
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 limitation of certain data sources and evaluates incremental value of new data sources.
Graduate-level degree with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Public Health, Health Services Research, or Operations Research ;
5-10 years’ experience in related health care analytics; or any combination of education and experience, which would provide an equivalent background.
Experience developing complex statistical modeling to estimate causal impacts of various programs, interventions, and strategies on key clinical and business outcomes.
Substantial analytical experience in the healthcare industry preferred.
Advanced expertise with SAS or equivalents, analytical tools, comprehensive experience with Teradata, SQL, or equivalent data base tools.