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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.
Job Responsibility
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
Help win and retain clients, and support information based strategic decision making
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.
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.
Nice to have
Experience with developing and executing evaluation methodologies to measure outcomes and return on Investment for health programs and demonstrate their value that supports clinical and business strategies in the health industry
Experience partnering with clinical and business leaders to translate and apply insights to drive value for the enterprise
Experience with extracting and transforming data across multiple sources for routine reporting of outcomes metrics
Substantial analytical experience in the healthcare industry is preferred, particularly in population health and/or palliative care
Advanced expertise with SAS and/or python or equivalent analytical tools and comprehensive experience with Snowflake, SQL, or equivalent data base tools strongly preferred.