Anthem Inc. Actuarial Jobs

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Elevance Health Senior Business Analyst (Business Info Analyst Sr) - AIM Chicago in Brentwood, Tennessee

Senior Business Analyst (Business Info Analyst Sr) - AIM Chicago

  • Location: TN, Brentwood

  • Job Family: RDA > Business/Health Info

  • Type: Full time

  • Date Posted:Jun 29, 2022

  • Req #: PS72839

Description

AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.

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 finance analytics.

AIM Specialty Health provides utilization management services, and we’re 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.

How you will make an impact:

  • Establish actuarially-sound cost modeling and forecasting methodologies that accurately assess future business performance across new go-to-market solutions and capabilities.

  • Obtain, verify, analyze, and model financial target outcomes such as return-on-investment (ROI) and payback periods using claims and authorization data.

  • Lead and/or actively participate in new solution strategy sessions with AIM medical directors and Solution Design consultants.

  • Partner with Actuarial team members to validate cost model outcomes, savings modeling assumptions, and ROI recommendations.

  • Identify medical cost, service utilization, service intensity, unit cost, and membership trends to identify new opportunities for product expansion.

  • Understand cost levers of AIM services and make recommendations on program design.

  • Accountable for developing a measurement system to assess financial performance of new solutions following implementation.

  • Ensure that cost and saving model assumptions are tracking with actual solution performance.

  • Structure and perform independent analyses and package findings for executive level stakeholders.

  • Conduct exploratory research on medical finance and 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.

  • Use R, SQL, Excel, PowerPoint, and other tools to transform data into insights and report findings to internal and external business partners.

Minimum Requirements:

  • BS/BA degree in Mathematics, Statistics, Finance, Computer Science or a quantitative-related field; minimum of 3-5 years related experience in an analytics environment performing medical economics reporting, price setting, evaluation of financial risks and 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.

  • Advanced SQL experience required

Preferred Skills, Capabilities and Experiences:

  • 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 Excel skills 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 is critical.

  • Ability to participate collaboratively on teams producing complex analyses.

  • Healthcare Analytics consulting experience highly desired.

  • Excellent analytical and critical thinking skills.

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.ElevanceHealthinc.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 contactability@icareerhelp.comfor assistance.

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  • EEO Policy Statement

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