Advanced Analytics Consultant - Actuarial Science

Company: Elevance Health
Location: Chicago
Posted on: May 21, 2025

Job Description:

Advanced Analytics Consultant - Actuarial ScienceLocation: Palo Alto, CA; Woodland Hills, CA; New York, NY; Chicago, IL; Indianapolis, IN; Grand Prairie, TX (preferred). This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.PLEASE NOTE: This position is not eligible for current or future sponsorship.
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.The Advanced Analytics Consultant is responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to Carelon's sales and growth team. Acts as a primary consultant in performance-based pricing arrangements, medical expense savings and target setting, and discusses financial savings tied directly to Carelon's programs.How you will make an impact:

• Provide expert consult to key business stakeholders and clients on financial results, methodologies, key findings, and recommendations to mitigate unnecessary financial exposure.
• Analyze complex datasets from various sources, including medical claims and managed care operations, to identify growth opportunities and optimize business strategies.
• Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
• Consults on all considerations related to designing and executing tests or pilot programs.
• Contributes to the design of new programs/initiatives 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.
• Provide expert consult to key business stakeholders and clients on financial results, methodologies, key findings, and recommendations to mitigate unnecessary financial exposure.
• Generate insights from data analyses to recommend actionable strategies for improving competitive positioning and market share.
• Addresses the limitation of certain data sources and evaluates the incremental value of new data sources.Minimum Requirements:
  • Requires MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research and a minimum of 5 years experience in related health care analytics; or any combination of education and experience which would provide an equivalent background.Preferred Skills, Capabilities, and Experiences:
    • Actuarial sciences background highly preferred.
    • Experience with developing expert modeling systems for segmentation/stratification that supports customized strategies for different customer segments in a major industry highly desirable - healthcare, financial, database/direct marketing, online retail, consulting, etc.
    • Substantial analytical experience in the healthcare industry preferred.
    • Actuarial experience within a healthcare and/or managed care organization preferred
    • Advanced expertise with SAS or equivalent analytical tools strongly preferred.
    • Comprehensive experience with Teradata, SQL, or equivalent data databases strongly preferred.
    • Expertise in advanced statistics, machine learning, data visualization, and data extraction/manipulation techniques preferred.
    • Strong understanding of actuarial principles and managed care operations preferred.
    • Exceptional communication skills, both written and verbal, with the ability to convey complex information to non-technical stakeholders preferred.
    • Demonstrated ability to manage multiple projects and priorities in a fast-paced environment preferred.For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $103,664 to $196,416Locations:California, Illinois, New YorkIn 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 for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.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.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.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 for assistance.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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Keywords: Elevance Health, Skokie , Advanced Analytics Consultant - Actuarial Science, Professions , Chicago, Illinois