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Elevance Health · 2 hours ago

Senior Health Economist - Managed Care

Atlanta, GA

Full-time

Hybrid

Mid, Senior Level

3+ years exp

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. The Senior Health Economist will measure financial performance of core Carelon products using claims and membership data, create statistical models, and collaborate with business partners to address specific business issues.

Health CareHealth InsurancePersonal HealthWellness

No H1B

Responsibilities

Prepares analytical data sets in support of modeling studies

Build, test, and validate statistical models

Publishes results and addresses constraints/limitations with high-level business partners

Proactively collaborates with business partners to determine identified population segments

Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables

Qualification

SASStatistical modelingHealthcare analyticsSQLMedical claims dataCommunication skillsTeam collaboration

Required

Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research

A minimum of 3 years direct experience programming large, multi-source datasets with SAS required

A minimum of 3 years in health care setting

Any combination of education and experience which would provide an equivalent background

Preferred

Actuarial sciences background highly preferred

Utilization Management experience preferred

Medical economics, provider finance, healthcare analytics, and/or financial services highly preferred

Comprehensive understanding of medical claims data

Intermediate to Advanced expertise with SQL, SQL Server, Teradata, or equivalent strongly preferred

Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, and constructing robust and efficient analytical data sets strongly preferred

Significant experience in a healthcare-related field strongly preferred

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, to communicate with strong written and verbal communication skills, and to present to large multi-disciplinary audiences regularly strongly preferred