Position specific details: This is a Health Research role where the successful hire will conduct data analysis, review and incorporation of relevant literature, collaborative project design, associated data collection activities including extracting and manipulating data, use statistical methods to analyze data and generate useful reports depicting trends in performance measures, conducting basic statistical analysis, report writing, and presenting results at committee meetings. This is not an IT role. Will also be responsible for understanding and assisting with updating performance measure methodology, including reporting and data requirements, and using quality improvement techniques to improve organizational and/or provider performance.
This is a hybrid role in which the successful hire will be required to work in-office at least 1-2x a week in our Rocky Hill, CT or Wallingford, CT office.
The Health Research Scientist - Connecticut creates statistical models to predict, classify, quantify, and/or forecast behavioral health (BH) outcomes. business metrics. Design modeling studies to address specific issues determined by consultation with internal and external partners.
Primary duties may include, but are not limited to:
Prepares analytical data sets based on Medicaid claims and authorization data in support of modeling studies.
Build, test, and validate statistical models.
Publishes results and address constraints/limitations with high level partners.
Proactively collaborates interdepartmentally to determine identified population segments and develop actionable plans to enable the identification of patterns related to quality, use, cost and other variables.
Position requirements:
Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, cognitive science, economics, or operations research; a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide an equivalent background.
Preferred qualifications:
Experience in behavioral health, social studies, social work, psychiatry, or public health is strongly preferred.
Intermediate to Advanced expertise with software such as SAS, SAS Enterprise Miner, Tableau or equivalents strongly preferred.
Proven ability to design research studies and experience with data models, program evaluation, addressing data quality issues in study design, constructing robust and efficient analytical data sets strongly preferred.
Significant experience analyzing claims data strongly preferred.
The ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, to communicate with strong written and verbal communications skills, and to present to large multi-disciplinary audiences on a regular basis strongly preferred.
Experience with value-based payment models or attribution methodologies.
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 Are
Elevance 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 Work
At 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
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. 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 elevancehealthjobssupport@elevancehealth.comfor assistance.
