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Elevance Health · 9 hours ago

Investigative Analyst Senior

VA-RICHMOND, 2015 STAPLES MILL RD,

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 Investigative Analyst Senior is responsible for analyzing complex healthcare, business systems, and financial data to identify patterns of suspicious activity and support departmental objectives through advanced analytics and reporting.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Serves as the point of authority in the analysis of complex healthcare, business systems, and financial data, including development of advanced analytic outputs and/or services

Performs complex data mining and ad hoc data analysis to identify and quantify patterns of suspicious activity, outliers, anomalies and other issues that represent risk

Develops and utilizes complex analytic outputs and/or services, including predictive models, decision trees, forecasting and optimization analysis

Develops requirements for analysis and reporting solutions to support Department business objectives

Develops complex databases, queries, and reports

Perform database and dataset updates

Utilizes multiple corporate data repositories, including SQL Server and Oracle databases to extract information

Uses management reporting tools to provide business intelligence required to make effective decisions

Completes analysis and reporting utilizing a variety of applications (Access, ACL, SQL Server, Oracle, Facets, and PeopleSoft)

Reads and interprets design document conceptual, logical, and physical models to include context diagrams, data flow diagrams, process flow diagrams, data dictionaries and logical flow charts

Identifies risks and multiple solutions

Recommends and implements improvements to existing procedures. Influences others to follow existing procedures

Makes technical and functional business recommendations based on evolving technologies and evolving application trends to include infrastructure, software, database, and networks

Analyzes business system configuration data to identify complex patterns of suspicious activity, outliers, anomalies and other issues that represent risk

Addresses business challenges to improve efficiency and decision making, reduce redundancy, and ultimately enhance business results

Applies advanced statistical knowledge to perform sampling, extrapolation and forecasting techniques

Functions as a liaison between own department, health plans, functional areas, and ITS, collaborating directly with associates, other departments, and external constituents to analyze data, identify trends, and communicate findings

Trains associates in data analysis

Serves as a subject matter expert to less experienced associates in data sources, analysis, query, database, application, and reporting

Continues to improve technical skills and to stay current with changes in corporate data resources, company initiatives/objectives, tools and applications

Qualification

SQL ServerData AnalysisStatistical KnowledgeMS AccessData MiningTrainingCritical ThinkingCollaboration

Required

Requires a BA/BS in computer science, finance, economics, statistics, mathematics, business administration, information systems, operation research, accounting or related analytical discipline

Minimum of 3 years related experience in statistics, actuarial analysis or medical profiling

Strong knowledge of a structured query language (e.g. MS Access, VBA, T-SQL, or PL/SQL)

Demonstrated experience in developing MS Access databases and SQL Server solutions

Advanced statistical knowledge to perform sampling, extrapolation and forecasting techniques

Ability to analyze complex business problems and have extensive knowledge of the applications, data, associated technologies and/or analytic methods

Ability to perform complex data extraction, quantification, analysis, reporting, and ETL (Extract, Transform, and Loading) of data

Ability to read and interpret design document conceptual, logical, and physical models

Ability to identify risks and multiple solutions

Ability to recommend and implement improvements to existing procedures

Ability to function as a liaison between own department, health plans, functional areas, and ITS

Ability to train associates in data analysis

Ability to serve as a subject matter expert to less experienced associates in data sources, analysis, query, database, application, and reporting

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)