Advanced Analytics Consultant

Advanced Analytics Consultant

Hybrid 1: 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 if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

The Advanced Analytics Consultant employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness and efficiencies, client specific health gaps and needs. Consults business leaders and internal partners to apply the insights to test and drive product innovation and enhancement, to target the right members for the right service, to measure program outcome and demonstrate value, to help win and retain clients, and to support information based strategic decision making.

How you will make an impact

• Provides analytical insights to support business solution development based on quality, use, cost and other key drivers.
• Develops and refines analysis templates for problem diagnosis and opportunities assessment.
• Consults on all considerations related to designing and executing tests or pilot programs.
• Contributes to the design of new program/initiative 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.
• Leads applied research projects; authors white papers, presents at industry conferences and submits journal publications.
• Addresses limitation of certain data sources and evaluates incremental value of new data sources.
• Managing custom ASO client business definitions thru Rule committee approval, intake submission, and implementation on rules engine.
• Produce custom financial models for ASO clients to support impact analysis of operational errors and potential refund.
• Support multiple new strategic projects such as Agora, NCPDP F6, AI BI, etc.

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:

• PhD preferred.
• Experience with developing expert modeling system for segmentation/stratification that supports customized strategies for different customer segments in a major industry highly preferred - healthcare, financial, database/direct marketing, online retails, consulting, etc.
• Substantial analytical experience in healthcare industry preferred.
• Advanced expertise with Databricks or equivalent analytical tools and comprehensive experience with Teradata, SQL, or equivalent data base tools strongly preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $111,520 to $200,736

Location(s): California, Colorado, Illinois, New Jersey, Las Vegas, New York, Washington State, Virginia