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Elevance Health · 1 day ago

Cost of Care Analyst

Mars, PA

Full-time

Hybrid

Senior Level

5+ years exp

Elevance Health is a health company dedicated to improving lives and communities. The Cost of Care Analyst employs advanced analytics to gain insights into member behavior and operational effectiveness, supporting product innovation and strategic decision-making.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

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

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

Qualification

Healthcare analyticsPredictive modelingSQLSASHealthcare financeData visualizationAI/ML frameworksTeam collaborationVerbal communicationWritten communication

Required

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

Experience performing trend analysis to identify patterns in healthcare costs over time, offering insights to optimize cost management strategies and improve financial outcomes preferred

In-depth understanding of healthcare dynamics, including service delivery, reimbursement models, and payer systems preferred

Experience in healthcare finance or healthcare actuarial analytics preferred

Substantial analytical experience in the healthcare industry preferred

Advanced SQL & SAS skills

Oracle Exadata experience preferred

Familiarity with AI/ML frameworks

Additional skills for success are Python, Informatica, Tableau, and/or Power BI

Experience in using Agile estimation techniques such as Planning Poker, T-shirt Sizing, or the Fibonacci sequence to provide relative estimates related to Cost of Care

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

Comprehensive experience with Teradata, SQL, or equivalent data databases strongly preferred

Benefits

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

Short and long term disability benefits

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (488)

2024 (604)

2023 (660)

2022 (222)