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Business Information Consultant

Location:

  • IL, Chicago
  • North Carolina, North Carolina
  • Virginia, Virginia
  • Ohio, Ohio
  • New Jersey, New Jersey
  • Florida, Florida
  • Illinois, Illinois
  • Georgia, Georgia

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Description

Business Information Consultant – Medical Economics 

Primary Location:  AIM Chicago Corp HQ ​(REMOTE)

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 are critical to being successful in this role. What will make you stand out from 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 is 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 and provide data-driven insights and thought leadership to support AIM programs and services. 

Primary duties may include, but are not limited to: 

  • Lead and/or actively participate in new solution strategy sessions with senior leadership, AIM medical directors, and Solution Design consultants. 
  • Identify medical cost, service utilization, service intensity, unit cost, and membership trends to identify new opportunities for product expansion. 
  • Partner with Actuarial team members to validate cost model outcomes, savings modeling assumptions, and ROI recommendations. 
  • Understand cost levers of AIM services and make recommendations on program design. 
  • Accountable for developing a measurement system to assess the financial performance of new solutions following implementation.  
  • Ensure that cost and saving model assumptions are tracked with actual solution performance. 
  • Structure and perform independent analyses and package findings for executive-level stakeholders. 
  • Extract, analyze and summarize claims and authorization data and present it to business partners to support data-driven decision-making. 
  • Conduct exploratory research on medical 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. 
  • Provides analytic consultation to other business areas, leadership, or external customers.  
  • Use R, Python, SQL, Excel, QlikSense, PowerBI, PowerPoint, and other tools to transform data into insights and report findings to internal and external business partners. 

Qualifications: 

  • A successful candidate will bring strong analytics consulting acumen and a track record in self-starting investigations that uncover new business opportunities that elevate organizational performance. 
  • Ability to take a business issue and devise the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. 
  • BS/BA degree in Mathematics, Statistics, Finance, Computer Science, or a quantitative-related field;
  • A minimum of 5-7 years related experience in an analytics environment performing medical economics reporting, price setting, evaluation of financial risks and/or 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 or graduate-level related education may also be used to offset years of experience.  
  • Familiarity with medical management or population health programs is highly desired. 
  • 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 are strongly preferred.
  • Base statistical skills to analyze, display, describe, and summarize data into actionable insights. 
  • Data visualization experience in QlikSense, Business Objects, Tableau, or other BI tools is a plus.
  • Excellent organizational, analysis planning, and communication skills are critical.
  • Ability to participate collaboratively on teams producing complex analyses. 
  • Healthcare Analytics consulting experience is highly desired.
  • Excellent analytical, critical thinking, and problem-solving skills.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $82,880 to $149,184
 

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

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.


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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