Business Information Analyst Sr

Location : Remote

Schedule : Monday-Friday, 9-5pm CST

How can you make an impact:

Have you worked in a team-based environment to consistently solve complex, medical cost-related problems using large healthcare data sets? Are you searching for a career opportunity to apply your healthcare analytics expertise to develop cost containment solutions for some of the nation’s largest health insurance companies?  The AIM Analytics group has an exciting opportunity to help you cultivate a career in medical economics analytics.  Intellectual curiosity, superior data mining skills, and the ability to distill financial impacts and levers and communicate them to non-technical audiences is critical to being successful in this role. What will make you stand out versus other candidates? Proven ability to empower analytics-driven business decisions, experience applying statistical concepts, data visualization skills, knowledge of medical claims data, and/or actuarial experience.

AIM Specialty Health provides utilization management services, and we’re seeking a self-starting individual who can effectively utilize a combination of critical thinking and analytics skills to demonstrate the financial value of new services and capabilities.

Primary duties may include, but are not limited to

• Establish actuarially-sound cost modeling and forecasting methodologies that accurately assess future business performance across new go-to-market solutions and capabilities.

• Obtain, verify, analyze, and model financial target outcomes such as return-on-investment (ROI) and payback periods using claims and authorization data.

• Lead and/or actively participate in new solution strategy sessions with AIM medical directors and Solution Design consultants.

• Partner with Actuarial team members to validate cost model outcomes, savings modeling assumptions, and ROI recommendations.

• Identify medical cost, service utilization, service intensity, unit cost, and membership trends to identify new opportunities for product expansion.

• Understand cost levers of AIM services and make recommendations on program design.

• Accountable for developing a measurement system to assess financial performance of new solutions following implementation. 

• Ensure that cost and saving model assumptions are tracking with actual solution performance.

• Structure and perform independent analyses and package findings for executive level stakeholders.

• Conduct exploratory research on medical finance and cost-of-care outcomes by publishing key cost trends and benchmarks. 

• Serve as a subject matter expert in trend decomposition to inform the business of key financial risks that require more proactive surveillance.

• Use R, SQL, Excel, PowerPoint, and other tools to transform data into insights and report findings to internal and external business partners.

Minimum Qualifications

• BS/BA degree in Mathematics, Statistics, Finance, Computer Science or a quantitative-related field; minimum of 2-3 years related experience in an analytics environment performing medical economics reporting, price setting, evaluation of financial risks and trend projections; or any combination of education and experience, which would provide an equivalent background.

• Experience specific to health insurance or health insurance claims data

Preferred qualifications:

• Possess working knowledge of healthcare data and measurement standards such as ICD10, CPT/HCPCS, MS-DRG, DxCG, PMPM, and utilization per 1,000.

• Advanced SQL and Excel skills

• Data visualization experience in QlikSense, Business Objects, Tableau, or other BI tools

• Healthcare Analytics consulting experience

• Excellent analytical and critical thinking skills

**For candidates working in person or remotely in the below locations, the salary* range for this specific position is $72, 720 to $130,896*

Locations:  Colorado; Nevada, Jersey City, NJ; New York City, NY; Ithaca, NY, Westchester County, NY, California and Washington State

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity

laws. 

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.