So, you're excited and motivated to take over this challenging role by becoming the newest member of this team? Great choice! Let's check some boxes to see if you fit the bill:

• Champion advanced analytics as a strategic capability

• Influence business partners using analytic insights

• Prototype analytics, methodology, modeling, and reporting to be deployed to production

• Collaborate with production/engineering teams during deployment and monitoring phases

Role Summary

This person will be an individual contributor responsible for conducting advanced network & provider profiling analytics, generating actionable insights and resources while working with agile development teams to scale solutions for maximum business impact.

Responsibilities Include:

• Execute effective and externally defensible provider performance methodologies to drive steerage

• Execute and apply advanced analytical techniques to deploy robust valuation improvement focused on cost, quality and access

• Execute on effective prediction and monitoring of results from our provider networks

• Closely partner with business (Clinical and Product) to set and deploy high value analytics enhancements

• Present analytic findings and recommendations to non-technical business partners and leadership to drive data driven strategies

• Explore innovative solutions to business questions/problems

Qualifications & Competencies Required

This position requires healthcare and insurance content knowledge, advanced analytics expertise, and leadership ability. This position will drive market value by participating in a highly matrixed structure with business stakeholders and Agile model that enables and evolves new concepts and ideas to supercharge Evernorth's Affordability strategy.

• Minimum of an advanced degreein a quantitative field such as Computer Science, Statistics, Biostatistics, Actuarial Science, Data Science, Epidemiology or equivalent work experience

• 3-5 years' of healthcare analytics industry experience solving business problems through the application of descriptive, diagnostic and prescriptive analytics approaches. Ability to think from statistical perspective - significance testing, confidence intervals, bias and variance - is required

• Healthcare Analytics expertise - 3+ years of hands-on experience with healthcare data (e.g., claims, eligibility, profiling, EMR), statistical and observational studies, 1+ years of experience and training with advanced analytics techniques like episode groupers (Optum ETG, EBM, ERG, Prometheus etc.), provider profiling, network adequacy, steerage analytics, geo-spatial & social network analytics, risk adjustments etc.

• Technical expertise - Strong technical skills and hands on experience required to extract, transpose, and analyze data housed in cloud-based Analytics Platform using advanced tools including, but not limited to, R/Python, Tableau/, ArcGIS and Geo-spatial tools; model governance experience will be preferred, hands on experience with at least one object-oriented language is preferred as willingness to learn Git/Github

• Healthcare subject matter expertise - 2+ years of experience of direct industry experience through conferences and relationship management, strong healthcare and / or health plan business acumen for developing actionable guidance using key metrics communicated in an easy-to-understand manner, demonstrated understanding of health care and delivery system processes, strong clinical knowledge and applications into relevant analytics

• Ability to execute graph and social network analysis to define provider networks

• Ability to consistently deliver on-time while managing multiple projects at the same time

• Ability to successfully navigate and contribute in a highly matrixed environment with multiple stakeholders from across the organization

• Strong verbal/written communication and leadership skills to work with various matrix partners, including but not limited to clinical, actuarial, medical economics, contracting, business, marketing, and IT/IM.