Anthem, Inc. Advanced Analytics Consultant – West Region QM Analytics in Mendota Heights, Minnesota
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it is a powerful combination, and the foundation upon which we are creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
Advanced Analytics Consultant – West Region QM Analytics – PS38555 Location: Remote
Description: Employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness and efficiencies, client specific health gaps and needs. Consults 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 service, to measure program outcome and demonstrate value, to help win and retain clients, and to support information based strategic decision making.
· 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 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 limitation of certain data sources and evaluates incremental value of new data sources. · Program custom HEDIS Measures in SAS and develop complex Provider Attribution methodologies to meet Government mandated Quality Incentive Program objectives · Produce Tableau Dashboards and Advanced Analytics Dashboards that drive business decisions from leadership to operational levels
Requirements: · Requires Graduate-level degree with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science 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. · PhD preferred. · Experience with developing expert modeling system for segmentation/stratification that supports customized strategies for different customer segments in a major industry highly desirable - healthcare, financial, database/direct marketing, online retails, consulting, etc. Substantial analytical experience in healthcare industry preferred. · Advanced expertise with SAS or equivalents analytical tools comprehensive experience with Teradata, SQL, or equivalent data base tools.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc. magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at Careers.antheminc.com
An Equal Opportunity Employer/Disability/Veteran