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Elevance Health Medicare Risk Adjustment Advanced Analyst Sr in W DES MOINES, Iowa

WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.

Medicare Risk Adjustment Advanced Analyst Sr

  • Job Family: RDA > Reporting & Data Analysis

  • Type: Full time

  • Date Posted:Mar 04, 2024

  • Anticipated End Date:Apr 22, 2024

  • Reference: JR107361

Location:

  • MD, HANOVER

  • CA, WOODLAND HILLS

  • NJ, MORRISTOWN

  • WI, Waukesha

  • MA, BOSTON

  • FL, MIAMI

  • IN, INDIANAPOLIS

  • OH, MASON

  • KY, LOUISVILLE

  • NY, NEW YORK

  • WA, SEATTLE

  • NH, MANCHESTER

  • TX, GRAND PRAIRIE

  • IL, CHICAGO

  • MI, DEARBORN

  • TN, NASHVILLE

  • DC, WASHINGTON

  • MN, MENDOTA HEIGHTS

  • LA, LAFAYETTE

  • VA, NORFOLK

  • CT, WALLINGFORD

  • MO, ST LOUIS

  • WV, CHARLESTON

  • DE, WILMINGTON

  • RI, SMITHFIELD

  • CO, DENVER

  • NV, LAS VEGAS

  • North Carolina, Cary

  • ME, SOUTH PORTLAND

  • GA, ATLANTA

  • HI, KAPOLEI

  • IA, W DES MOINES

Description

Medicare Risk Adjustment Advanced Analytic Senior

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

Preferred Location: Hanover, MD.

The Medicare Risk Adjustment Advanced Analytic Senior Is responsible for creating statistical models to predict, classify, quantify, and/or forecast business metrics. Design modeling studies to address specific business issues determined by consultation with business partners.

How you will make an impact:

  • Prepares analytical data sets in support of modeling studies.

  • Build, test, and validate statistical models.

  • Publishes results and address constraints/limitations with high level business partners.

  • Proactively collaborates with business partners to determine identified population segments and develop actionable plans to enable the identification of patterns related to quality, use, cost and other variables.

Minimum Requirements:

Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, 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 Skills, Capabilities, and Experiences:

  • PhD preferred.

  • Intermediate to Advanced expertise with software such as SAS Stat, SAS ETS, SAS Enterprise Miner or equivalents strongly preferred.

  • Experience with Teradata, SQL, SQL Server, or equivalent strongly preferred.

  • Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, constructing robust and efficient analytical data sets strongly preferred.

  • Significant experience in healthcare related field 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 strongwritten and verbal communications skills, and to present to large multi-disciplinary audiences on a regular basis strongly preferred.

  • Medicare Advantage and Medicaid (Dual Members) risk adjustment experience preferred.

  • Experience with ACA Risk adjustment, Star, and Medicaid quality incentives preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $87,360 to $157,248

Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

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 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.com for assistance.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

  • EEO Policy Statement

  • Know Your Rights

  • Pay Transparency

  • Privacy Notice for California Residents

Elevance Health, Inc. is anE-verify Employer (https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf)

Need Assistance?

Email us (elevancehealthjobssupport@elevancehealth.com)

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