Business Information Consultant

Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of the following PulsePoint location. 8600 W Bryn Mawr Ave, South Tower, Suite 800, Chicago, IL 60631.

Hours: Monday to Friday, 8:00 am to 5:00 pm

The Business Information Consultant will ingest, query, and model claims-based medical spending to help the company define new opportunities for utilization management.

How you will make an impact:

•    Apply knowledge of the differences between regression and classification machine learning models and the circumstances in which each should be used/not used.
•    Develop solution performance monitoring methodologies, dashboards, and reports.
•    Design and develop NLP (Natural Language Processing) applications to support operational processes and conversion of paper documents to digital formats. (Oversight of OCR capability).
•    Transition machine learning modeling activity to a cloud-based environment (Microsoft Azure).
•    Provide ad-hoc data analysis related to utilization management, claims adjudication, and other data as required by management.
•    Work with and communicate technical information to multiple levels of non-technical staff including clinicians, solution managers, and client managers.
•    Mentor team members in technology, architecture, and delivery of analytics products. 

(REF #511177)

Minimum Requirements:

Bachelor’s degree in Analytics, Statistics, Mathematics, or a related field. Five (5) years of experience in related occupation(s).

Additional Requirements:

Five (5) years of experience must include: 
•    Five (5) years of experience articulating the systems of clinical delivery and financing in the US Healthcare System.
•    Five (5) years of experience working with medical claims data.
•    Five (5) years of experience working with claims-based code sets.
•    Five (5) years of experience presenting analytic insights and findings to a business audience using Microsoft PowerPoint.
•    Five (5) years of experience using Microsoft Excel and Microsoft Management Studio to perform medical economics modeling studies.
•    Five (5) years of experience in financial modeling.
•    Five (5) years of experience creating an analysis project plan and providing regular status reports to business stakeholders.
•    Five (5) years of experience applying dashboard design principles using either Microsoft Excel or R Shiny.

ALTERNATE EDUCATION/EXPERIENCE REQUIREMENTS: Employer will accept a Master’s degree in Analytics, Statistics, Mathematics, or a related field plus three (3) years of related experience. Must have three (3) years of experience in each of the above-listed skills.

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.